Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,755.00 / $5,549.00	Facility		$1,129.00	$2,755.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,173.36 / $1,428.11 / $2,623.82	Professional		$1,173.36	$1,428.11	$2,623.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,715.62 / $18,643.04 / $37,332.68	Facility		$8,715.62	$18,643.04	$37,332.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,701.34 / $2,352.56 / $2,503.92	Professional		$1,701.34	$2,352.56	$2,503.92
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 $1,291.92 / $2,022.93 / $2,885.92	Professional		$1,291.92	$2,022.93	$2,885.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,524.42 / $2,330.62 / $7,307.34	Professional		$1,524.42	$2,330.62	$7,307.34
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 $1,653.69 / $1,782.24 / $1,974.57	Professional		$1,653.69	$1,782.24	$1,974.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,232.78	Professional		$32.34	$32.34	$2,232.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,619.00 / $12,241.00	Facility		$2,100.00	$5,619.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,285.72 / $1,756.75 / $3,124.47	Professional		$1,285.72	$1,756.75	$3,124.47