Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,215.60 / $5,549.00	Facility		$1,159.00	$2,215.60	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.89 / $1,366.78 / $2,215.60	Professional		$1,082.89	$1,366.78	$2,215.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,455.91 / $15,948.48 / $31,936.83	Facility		$7,455.91	$15,948.48	$31,936.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,444.15 / $2,081.96 / $2,254.19	Professional		$1,444.15	$2,081.96	$2,254.19
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 $1,293.10 / $1,723.50 / $2,469.21	Professional		$1,293.10	$1,723.50	$2,469.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,281.46 / $2,007.56 / $5,599.58	Professional		$1,281.46	$2,007.56	$5,599.58
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 $1,413.07 / $1,514.45 / $1,659.67	Professional		$1,413.07	$1,514.45	$1,659.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,915.01	Professional		$32.34	$32.34	$1,915.01
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 $1,235.34 / $1,745.98 / $2,803.41	Professional		$1,235.34	$1,745.98	$2,803.41