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 / $5,941.71	Facility		$1,017.00	$3,636.00	$5,941.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,018.20 / $2,654.34 / $4,730.84	Professional		$2,018.20	$2,654.34	$4,730.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,819.22 / $33,837.92 / $67,760.42	Facility		$15,819.22	$33,837.92	$67,760.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,335.59 / $4,322.04 / $4,754.39	Professional		$3,335.59	$4,322.04	$4,754.39
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 $2,296.94 / $3,729.10 / $5,349.31	Professional		$2,296.94	$3,729.10	$5,349.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,641.45 / $4,226.32 / $9,695.53	Professional		$2,641.45	$4,226.32	$9,695.53
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 $2,642.22 / $3,231.89 / $3,740.35	Professional		$2,642.22	$3,231.89	$3,740.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,229.47	Professional		$32.34	$32.34	$4,229.47
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 $2,257.57 / $3,236.59 / $5,739.63	Professional		$2,257.57	$3,236.59	$5,739.63