Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $3,280.00 / $4,920.00	Facility		$1,640.00	$3,280.00	$4,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.35 / $1,640.00 / $2,542.00	Professional		$1,103.35	$1,640.00	$2,542.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $8,470.00 / $26,457.20	Facility		$2,700.00	$8,470.00	$26,457.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $1,380.00 / $1,540.00	Professional		$3.50	$1,380.00	$1,540.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $769.85 / $4,447.10 / $9,206.93	Facility		$769.85	$4,447.10	$9,206.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.99 / $2,436.25 / $3,375.87	Professional		$1,022.99	$2,436.25	$3,375.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,040.00 / $2,800.00 / $3,841.94	Professional		$2,040.00	$2,800.00	$3,841.94
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 $2,600.00 / $2,600.00 / $2,600.00	Professional		$2,600.00	$2,600.00	$2,600.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $2,720.00 / $3,000.00	Professional		$44.25	$2,720.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $1,200.00 / $2,000.00	Professional		$840.00	$1,200.00	$2,000.00