Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,002.52 / $5,549.00	Facility		$1,159.00	$3,002.52	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.72 / $1,691.39 / $3,002.52	Professional		$1,320.72	$1,691.39	$3,002.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,080.29 / $21,562.16 / $43,178.22	Facility		$10,080.29	$21,562.16	$43,178.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,125.81 / $2,754.48 / $3,033.98	Professional		$2,125.81	$2,754.48	$3,033.98
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 $1,600.74 / $2,475.44 / $3,339.24	Professional		$1,600.74	$2,475.44	$3,339.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,738.27 / $2,703.58 / $8,430.71	Professional		$1,738.27	$2,703.58	$8,430.71
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 $1,705.47 / $2,062.40 / $2,383.77	Professional		$1,705.47	$2,062.40	$2,383.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,750.51	Professional		$32.34	$32.34	$2,750.51
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 $1,644.39 / $2,521.98 / $3,651.24	Professional		$1,644.39	$2,521.98	$3,651.24