Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,709.30 / $5,549.00	Facility		$1,159.00	$2,709.30	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.14 / $1,678.23 / $2,709.30	Professional		$1,300.14	$1,678.23	$2,709.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,154.87 / $19,582.64 / $39,214.23	Facility		$9,154.87	$19,582.64	$39,214.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,821.29 / $2,625.66 / $2,785.39	Professional		$1,821.29	$2,625.66	$2,785.39
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 $1,545.19 / $2,173.59 / $3,059.13	Professional		$1,545.19	$2,173.59	$3,059.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,583.44 / $2,463.41 / $5,733.59	Professional		$1,583.44	$2,463.41	$5,733.59
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 $1,654.72 / $1,871.34 / $2,093.09	Professional		$1,654.72	$1,871.34	$2,093.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,415.11	Professional		$32.34	$32.34	$2,415.11
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 $1,481.12 / $2,118.00 / $3,501.58	Professional		$1,481.12	$2,118.00	$3,501.58