Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,779.31 / $5,549.00	Facility		$1,159.00	$2,779.31	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.44 / $1,735.49 / $2,793.08	Professional		$1,342.44	$1,735.49	$2,793.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,467.28 / $20,250.88 / $40,552.37	Facility		$9,467.28	$20,250.88	$40,552.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,849.73 / $2,666.67 / $2,820.90	Professional		$1,849.73	$2,666.67	$2,820.90
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 $1,603.63 / $2,207.53 / $3,106.90	Professional		$1,603.63	$2,207.53	$3,106.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,603.62 / $2,532.67 / $6,117.52	Professional		$1,603.62	$2,532.67	$6,117.52
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 $1,646.24 / $1,895.19 / $2,125.77	Professional		$1,646.24	$1,895.19	$2,125.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,452.82	Professional		$32.34	$32.34	$2,452.82
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 $1,533.78 / $2,266.55 / $4,259.43	Professional		$1,533.78	$2,266.55	$4,259.43