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 $1,829.81 / $2,401.32 / $4,275.92	Professional		$1,829.81	$2,401.32	$4,275.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,311.29 / $30,612.40 / $61,301.33	Facility		$14,311.29	$30,612.40	$61,301.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,018.45 / $3,911.10 / $4,304.75	Professional		$3,018.45	$3,911.10	$4,304.75
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 $2,145.66 / $3,355.12 / $4,855.14	Professional		$2,145.66	$3,355.12	$4,855.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,433.33 / $3,826.62 / $8,798.23	Professional		$2,433.33	$3,826.62	$8,798.23
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 $2,403.69 / $2,926.24 / $3,384.72	Professional		$2,403.69	$2,926.24	$3,384.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,827.34	Professional		$32.34	$32.34	$3,827.34
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 $2,067.91 / $2,921.41 / $5,119.92	Professional		$2,067.91	$2,921.41	$5,119.92