Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,570.42 / $5,549.00	Facility		$1,159.00	$2,570.42	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.50 / $1,574.66 / $2,570.42	Professional		$1,112.50	$1,574.66	$2,570.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,589.87 / $18,374.08 / $36,794.08	Facility		$8,589.87	$18,374.08	$36,794.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,676.56 / $2,417.01 / $2,556.90	Professional		$1,676.56	$2,417.01	$2,556.90
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 $1,448.52 / $2,000.86 / $2,878.76	Professional		$1,448.52	$2,000.86	$2,878.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,453.55 / $2,287.28 / $5,574.22	Professional		$1,453.55	$2,287.28	$5,574.22
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 $1,486.73 / $1,717.83 / $1,926.76	Professional		$1,486.73	$1,717.83	$1,926.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,223.17	Professional		$32.34	$32.34	$2,223.17
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 $1,420.07 / $2,027.68 / $3,177.77	Professional		$1,420.07	$2,027.68	$3,177.77