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 $1,852.34 / $2,431.81 / $4,330.82	Professional		$1,852.34	$2,431.81	$4,330.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,493.06 / $31,001.20 / $62,079.90	Facility		$14,493.06	$31,001.20	$62,079.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,518.44 / $3,744.18 / $4,154.43	Professional		$2,518.44	$3,744.18	$4,154.43
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 $2,115.71 / $3,240.27 / $4,735.78	Professional		$2,115.71	$3,240.27	$4,735.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,389.57 / $3,692.98 / $8,904.54	Professional		$2,389.57	$3,692.98	$8,904.54
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 $2,361.88 / $2,824.04 / $3,240.26	Professional		$2,361.88	$2,824.04	$3,240.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,663.99	Professional		$32.34	$32.34	$3,663.99
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 $2,069.34 / $2,966.19 / $5,182.55	Professional		$2,069.34	$2,966.19	$5,182.55