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 / $5,799.72	Facility		$1,017.00	$3,636.00	$5,799.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,004.30 / $2,590.61 / $5,137.52	Professional		$2,004.30	$2,590.61	$5,137.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,439.46 / $33,025.60 / $66,133.75	Facility		$15,439.46	$33,025.60	$66,133.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,813.28 / $4,217.18 / $4,640.78	Professional		$2,813.28	$4,217.18	$4,640.78
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 $2,295.44 / $3,593.46 / $5,228.47	Professional		$2,295.44	$3,593.46	$5,228.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,613.92 / $4,125.32 / $9,470.31	Professional		$2,613.92	$4,125.32	$9,470.31
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 $2,586.05 / $3,154.66 / $3,649.61	Professional		$2,586.05	$3,154.66	$3,649.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,126.85	Professional		$32.34	$32.34	$4,126.85
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 $2,260.73 / $3,222.54 / $5,526.88	Professional		$2,260.73	$3,222.54	$5,526.88