Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,441.39 / $7,123.00	Facility		$1,159.00	$3,441.39	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,644.18 / $1,751.35 / $3,598.73	Professional		$1,644.18	$1,751.35	$3,598.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.91 / $18,043.87 / $41,975.43	Facility		$8,139.91	$18,043.87	$41,975.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,202.71 / $2,951.61 / $3,362.41	Professional		$2,202.71	$2,951.61	$3,362.41
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 $1,945.68 / $2,654.80 / $3,939.11	Professional		$1,945.68	$2,654.80	$3,939.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,969.68 / $3,092.35 / $7,740.17	Professional		$1,969.68	$3,092.35	$7,740.17
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 $2,197.71 / $2,327.81 / $2,556.48	Professional		$2,197.71	$2,327.81	$2,556.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,949.78	Professional		$32.34	$32.34	$2,949.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $6,359.00 / $12,442.00	Facility		$1,300.00	$6,359.00	$12,442.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,894.20 / $2,783.52 / $4,810.55	Professional		$1,894.20	$2,783.52	$4,810.55