Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,558.00 / $5,580.00	Facility		$1,159.00	$3,558.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.48 / $1,859.37 / $3,626.16	Professional		$1,730.48	$1,859.37	$3,626.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.91 / $18,985.18 / $44,165.20	Facility		$8,139.91	$18,985.18	$44,165.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,318.55 / $3,106.82 / $3,539.97	Professional		$2,318.55	$3,106.82	$3,539.97
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 $2,046.27 / $2,794.40 / $4,142.47	Professional		$2,046.27	$2,794.40	$4,142.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,073.69 / $3,254.96 / $8,131.34	Professional		$2,073.69	$3,254.96	$8,131.34
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 $2,310.79 / $2,450.73 / $2,690.91	Professional		$2,310.79	$2,450.73	$2,690.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,104.90	Professional		$32.34	$32.34	$3,104.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,050.00 / $5,998.00 / $11,479.00	Facility		$2,050.00	$5,998.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,004.63 / $2,899.34 / $4,344.06	Professional		$2,004.63	$2,899.34	$4,344.06