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 $1,755.69 / $2,239.46 / $4,090.54	Professional		$1,755.69	$2,239.46	$4,090.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,346.75 / $28,549.20 / $57,169.77	Facility		$13,346.75	$28,549.20	$57,169.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,786.96 / $3,611.16 / $6,041.02	Professional		$2,786.96	$3,611.16	$6,041.02
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 $1,763.39 / $3,234.77 / $4,153.76	Professional		$1,763.39	$3,234.77	$4,153.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,143.41 / $3,444.34 / $8,967.93	Professional		$2,143.41	$3,444.34	$8,967.93
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 $2,320.32 / $2,713.72 / $3,125.15	Professional		$2,320.32	$2,713.72	$3,125.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,605.94	Professional		$32.34	$32.34	$3,605.94
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 $1,988.11 / $2,862.74 / $4,932.00	Professional		$1,988.11	$2,862.74	$4,932.00