Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,221.00 / $9,463.00	Facility		$1,272.00	$3,221.00	$9,463.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.33 / $1,513.96 / $1,927.93	Professional		$1,248.33	$1,513.96	$1,927.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,349.50 / $10,576.60 / $34,816.29	Facility		$3,349.50	$10,576.60	$34,816.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,609.76 / $2,556.02 / $2,867.79	Professional		$1,609.76	$2,556.02	$2,867.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,429.00 / $14,000.00 / $19,116.00	Facility		$7,429.00	$14,000.00	$19,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,441.71 / $1,985.69 / $2,714.33	Professional		$1,441.71	$1,985.69	$2,714.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,363.78 / $2,052.17 / $6,491.64	Professional		$1,363.78	$2,052.17	$6,491.64
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 $1,457.43 / $1,688.49 / $1,886.96	Professional		$1,457.43	$1,688.49	$1,886.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,133.71	Professional		$32.34	$32.34	$2,133.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,655.00 / $11,047.00 / $35,962.00	Facility		$2,655.00	$11,047.00	$35,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,390.53 / $1,906.26 / $3,446.51	Professional		$1,390.53	$1,906.26	$3,446.51