Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,755.00 / $5,580.00	Facility		$1,159.00	$2,755.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,058.94 / $1,366.95 / $2,101.54	Professional		$1,058.94	$1,366.95	$2,101.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,456.81 / $12,281.80 / $28,571.15	Facility		$7,456.81	$12,281.80	$28,571.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,437.02 / $2,071.69 / $2,231.33	Professional		$1,437.02	$2,071.69	$2,231.33
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 $1,177.10 / $1,714.99 / $2,261.25	Professional		$1,177.10	$1,714.99	$2,261.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,268.47 / $1,960.36 / $6,086.73	Professional		$1,268.47	$1,960.36	$6,086.73
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 $1,437.48 / $1,499.10 / $1,651.48	Professional		$1,437.48	$1,499.10	$1,651.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,905.56	Professional		$32.34	$32.34	$1,905.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,099.92 / $1,579.85 / $3,023.84	Professional		$1,099.92	$1,579.85	$3,023.84