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 $1,798.43 / $2,303.96 / $4,096.16	Professional		$1,798.43	$2,303.96	$4,096.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,731.03 / $29,371.20 / $58,815.82	Facility		$13,731.03	$29,371.20	$58,815.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,896.30 / $3,752.83 / $4,132.35	Professional		$2,896.30	$3,752.83	$4,132.35
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 $2,065.28 / $3,372.67 / $4,535.00	Professional		$2,065.28	$3,372.67	$4,535.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,376.88 / $3,822.35 / $11,847.50	Professional		$2,376.88	$3,822.35	$11,847.50
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 $2,317.19 / $2,809.04 / $3,247.75	Professional		$2,317.19	$2,809.04	$3,247.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,747.41	Professional		$32.34	$32.34	$3,747.41
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 $2,179.09 / $3,268.64 / $4,986.03	Professional		$2,179.09	$3,268.64	$4,986.03