Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,636.00 / $5,549.00	Facility		$1,159.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,874.16 / $2,402.17 / $4,684.25	Professional		$1,874.16	$2,402.17	$4,684.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,316.45 / $30,623.44 / $61,323.43	Facility		$14,316.45	$30,623.44	$61,323.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,390.06 / $3,917.28 / $6,553.12	Professional		$3,390.06	$3,917.28	$6,553.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,317.19 / $3,520.45 / $4,760.18	Professional		$2,317.19	$3,520.45	$4,760.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,479.28 / $3,911.61 / $8,864.83	Professional		$2,479.28	$3,911.61	$8,864.83
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,402.60 / $2,930.06 / $3,390.06	Professional		$2,402.60	$2,930.06	$3,390.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,911.61	Professional		$32.34	$32.34	$3,911.61
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,351.21 / $3,584.75 / $5,218.83	Professional		$2,351.21	$3,584.75	$5,218.83