Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,758.00 / $5,580.00	Facility		$1,159.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.49 / $1,206.82 / $2,153.86	Professional		$1,006.49	$1,206.82	$2,153.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $12,938.16 / $28,219.78	Facility		$4,464.57	$12,938.16	$28,219.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,419.16 / $1,962.37 / $2,249.08	Professional		$1,419.16	$1,962.37	$2,249.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,194.16 / $1,710.42 / $2,469.09	Professional		$1,194.16	$1,710.42	$2,469.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,330.33 / $1,961.55 / $4,657.85	Professional		$1,330.33	$1,961.55	$4,657.85
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 $1,385.61 / $1,478.49 / $1,647.07	Professional		$1,385.61	$1,478.49	$1,647.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,862.46	Professional		$32.34	$32.34	$1,862.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.13 / $1,500.88 / $2,499.06	Professional		$1,098.13	$1,500.88	$2,499.06