Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,585.00 / $5,549.00	Facility		$1,129.00	$2,585.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.49 / $1,510.34 / $3,399.67	Professional		$1,209.49	$1,510.34	$3,399.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,037.47 / $14,066.43 / $30,680.67	Facility		$5,037.47	$14,066.43	$30,680.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,844.91 / $2,199.73 / $2,646.80	Professional		$1,844.91	$2,199.73	$2,646.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.74 / $1,992.99 / $2,944.92	Professional		$1,318.74	$1,992.99	$2,944.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,498.78 / $2,470.62 / $7,783.56	Professional		$1,498.78	$2,470.62	$7,783.56
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 $1,735.73 / $1,920.95 / $2,141.19	Professional		$1,735.73	$1,920.95	$2,141.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,470.62	Professional		$32.34	$32.34	$2,470.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,995.00	Facility		$1,690.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,405.09 / $1,993.13 / $3,442.67	Professional		$1,405.09	$1,993.13	$3,442.67