Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,628.32 / $5,549.00	Facility		$1,159.00	$2,628.32	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.77 / $1,622.56 / $2,639.80	Professional		$1,254.77	$1,622.56	$2,639.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,851.19 / $18,933.04 / $37,913.41	Facility		$8,851.19	$18,933.04	$37,913.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,726.93 / $2,489.63 / $2,633.62	Professional		$1,726.93	$2,489.63	$2,633.62
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 $1,457.46 / $2,060.98 / $2,900.64	Professional		$1,457.46	$2,060.98	$2,900.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,497.16 / $2,349.66 / $7,830.72	Professional		$1,497.16	$2,349.66	$7,830.72
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 $1,538.07 / $1,769.37 / $1,984.65	Professional		$1,538.07	$1,769.37	$1,984.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,289.98	Professional		$32.34	$32.34	$2,289.98
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,456.67 / $2,153.21 / $3,386.58	Professional		$1,456.67	$2,153.21	$3,386.58