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 / $5,714.01	Facility		$1,017.00	$3,636.00	$5,714.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,972.05 / $2,553.75 / $5,062.89	Professional		$1,972.05	$2,553.75	$5,062.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,219.74 / $32,555.60 / $65,192.58	Facility		$15,219.74	$32,555.60	$65,192.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,207.39 / $4,155.93 / $4,572.20	Professional		$3,207.39	$4,155.93	$4,572.20
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 $2,273.03 / $3,541.27 / $5,146.25	Professional		$2,273.03	$3,541.27	$5,146.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,620.81 / $4,064.36 / $9,331.57	Professional		$2,620.81	$4,064.36	$9,331.57
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 $2,542.92 / $3,108.04 / $3,596.59	Professional		$2,542.92	$3,108.04	$3,596.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,066.92	Professional		$32.34	$32.34	$4,066.92
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 $2,173.28 / $3,058.29 / $5,442.87	Professional		$2,173.28	$3,058.29	$5,442.87