Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,139.71 / $5,549.00	Facility		$1,159.00	$3,139.71	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,374.74 / $1,761.28 / $3,139.71	Professional		$1,374.74	$1,761.28	$3,139.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,496.79 / $22,453.04 / $44,962.21	Facility		$10,496.79	$22,453.04	$44,962.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,215.15 / $2,870.24 / $3,160.23	Professional		$2,215.15	$2,870.24	$3,160.23
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 $1,696.17 / $2,579.48 / $3,520.96	Professional		$1,696.17	$2,579.48	$3,520.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,817.73 / $2,866.10 / $9,043.90	Professional		$1,817.73	$2,866.10	$9,043.90
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 $1,770.57 / $2,148.21 / $2,483.94	Professional		$1,770.57	$2,148.21	$2,483.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,866.10	Professional		$32.34	$32.34	$2,866.10
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 $1,665.90 / $2,521.06 / $4,279.64	Professional		$1,665.90	$2,521.06	$4,279.64