Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,636.00 / $5,549.00	Facility		$1,017.00	$3,636.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,774.88 / $2,291.46 / $4,543.38	Professional		$1,774.88	$2,291.46	$4,543.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,656.64 / $29,212.08 / $58,497.19	Facility		$13,656.64	$29,212.08	$58,497.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,227.54 / $3,227.54 / $6,238.95	Professional		$3,227.54	$3,227.54	$6,238.95
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 $2,045.88 / $3,200.23 / $4,658.64	Professional		$2,045.88	$3,200.23	$4,658.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,360.73 / $3,657.94 / $9,888.33	Professional		$2,360.73	$3,657.94	$9,888.33
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 $2,289.35 / $2,789.97 / $3,227.54	Professional		$2,289.35	$2,789.97	$3,227.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,649.60	Professional		$32.34	$32.34	$3,649.60
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,048.15 / $2,807.85 / $4,941.17	Professional		$2,048.15	$2,807.85	$4,941.17