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 $1,872.85 / $1,999.58 / $3,931.63	Professional		$1,872.85	$1,999.58	$3,931.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.91 / $20,535.83 / $47,772.49	Facility		$8,139.91	$20,535.83	$47,772.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,510.23 / $3,363.69 / $3,834.37	Professional		$2,510.23	$3,363.69	$3,834.37
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 $2,213.27 / $3,025.43 / $4,478.56	Professional		$2,213.27	$3,025.43	$4,478.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,246.16 / $3,524.07 / $8,786.92	Professional		$2,246.16	$3,524.07	$8,786.92
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 $2,498.69 / $2,654.55 / $2,913.38	Professional		$2,498.69	$2,654.55	$2,913.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,361.59	Professional		$32.34	$32.34	$3,361.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,176.51 / $3,125.56 / $5,493.82	Professional		$2,176.51	$3,125.56	$5,493.82