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 $1,570.21 / $2,058.79 / $3,659.38	Professional		$1,570.21	$2,058.79	$3,659.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,269.93 / $26,245.84 / $52,557.29	Facility		$12,269.93	$26,245.84	$52,557.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,585.94 / $3,350.70 / $3,689.02	Professional		$2,585.94	$3,350.70	$3,689.02
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 $1,841.02 / $2,868.21 / $4,165.89	Professional		$1,841.02	$2,868.21	$4,165.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,144.35 / $3,317.97 / $8,863.10	Professional		$2,144.35	$3,317.97	$8,863.10
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 $2,064.92 / $2,507.67 / $2,899.74	Professional		$2,064.92	$2,507.67	$2,899.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,278.94	Professional		$32.34	$32.34	$3,278.94
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 $1,833.88 / $2,597.88 / $4,382.93	Professional		$1,833.88	$2,597.88	$4,382.93