Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,115.79 / $7,407.00	Facility		$1,159.00	$3,115.79	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,371.22 / $1,756.42 / $3,115.79	Professional		$1,371.22	$1,756.42	$3,115.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,467.87 / $22,391.20 / $44,838.37	Facility		$10,467.87	$22,391.20	$44,838.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,208.46 / $2,861.58 / $3,151.01	Professional		$2,208.46	$2,861.58	$3,151.01
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 $1,653.74 / $2,571.69 / $3,495.64	Professional		$1,653.74	$2,571.69	$3,495.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,812.43 / $2,826.59 / $8,949.84	Professional		$1,812.43	$2,826.59	$8,949.84
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 $1,768.23 / $2,141.96 / $2,476.44	Professional		$1,768.23	$2,141.96	$2,476.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,857.44	Professional		$32.34	$32.34	$2,857.44
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 $1,652.18 / $2,474.94 / $4,257.58	Professional		$1,652.18	$2,474.94	$4,257.58