Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,747.00 / $5,549.00	Facility		$1,129.00	$2,747.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,138.33 / $1,304.65 / $2,392.85	Professional		$1,138.33	$1,304.65	$2,392.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,962.16 / $17,031.36 / $34,105.29	Facility		$7,962.16	$17,031.36	$34,105.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,558.51 / $2,155.06 / $2,625.77	Professional		$1,558.51	$2,155.06	$2,625.77
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 $1,271.93 / $1,876.31 / $2,715.48	Professional		$1,271.93	$1,876.31	$2,715.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,460.96 / $2,147.11 / $5,233.76	Professional		$1,460.96	$2,147.11	$5,233.76
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 $1,485.59 / $1,626.14 / $1,808.81	Professional		$1,485.59	$1,626.14	$1,808.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,045.34	Professional		$32.34	$32.34	$2,045.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,469.00 / $8,566.00	Facility		$1,600.00	$4,469.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,222.18 / $1,670.56 / $2,830.91	Professional		$1,222.18	$1,670.56	$2,830.91