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 $1,042.75 / $1,250.49 / $2,303.66	Professional		$1,042.75	$1,250.49	$2,303.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.78 / $13,850.99 / $29,378.36	Facility		$8,563.78	$13,850.99	$29,378.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,502.02 / $2,076.94 / $2,529.66	Professional		$1,502.02	$2,076.94	$2,529.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $8,658.56 / $9,666.24	Facility		$875.00	$8,658.56	$9,666.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,184.07 / $1,770.62 / $2,577.48	Professional		$1,184.07	$1,770.62	$2,577.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,408.01 / $2,108.91 / $5,391.31	Professional		$1,408.01	$2,108.91	$5,391.31
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 $1,436.97 / $1,566.62 / $1,743.25	Professional		$1,436.97	$1,566.62	$1,743.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,971.21	Professional		$32.34	$32.34	$1,971.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,152.72 / $1,555.59 / $2,729.35	Professional		$1,152.72	$1,555.59	$2,729.35