Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,370.80 / $5,549.00	Facility		$1,159.00	$2,370.80	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,124.34 / $1,453.83 / $2,370.80	Professional		$1,124.34	$1,453.83	$2,370.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,930.78 / $16,964.24 / $33,970.89	Facility		$7,930.78	$16,964.24	$33,970.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,547.38 / $2,230.79 / $2,359.63	Professional		$1,547.38	$2,230.79	$2,359.63
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 $1,182.35 / $1,846.70 / $2,599.06	Professional		$1,182.35	$1,846.70	$2,599.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.83 / $2,066.62 / $5,096.12	Professional		$1,327.83	$2,066.62	$5,096.12
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 $1,371.06 / $1,585.30 / $1,778.31	Professional		$1,371.06	$1,585.30	$1,778.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,051.90	Professional		$32.34	$32.34	$2,051.90
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 $1,284.43 / $1,861.38 / $3,046.45	Professional		$1,284.43	$1,861.38	$3,046.45