Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,562.42 / $5,549.00	Facility		$1,159.00	$2,562.42	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.16 / $1,569.82 / $2,562.42	Professional		$1,214.16	$1,569.82	$2,562.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.51 / $18,317.68 / $36,681.15	Facility		$8,563.51	$18,317.68	$36,681.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,669.24 / $2,406.46 / $2,545.77	Professional		$1,669.24	$2,406.46	$2,545.77
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 $1,457.46 / $1,992.13 / $2,803.74	Professional		$1,457.46	$1,992.13	$2,803.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,447.22 / $2,287.26 / $6,360.19	Professional		$1,447.22	$2,287.26	$6,360.19
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 $1,475.54 / $1,710.35 / $1,918.35	Professional		$1,475.54	$1,710.35	$1,918.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,006.88	Professional		$32.34	$32.34	$2,006.88
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 $1,397.63 / $2,108.62 / $3,294.07	Professional		$1,397.63	$2,108.62	$3,294.07