Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,381.06 / $9,691.00	Facility		$1,159.00	$2,381.06	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,038.33 / $1,241.89 / $1,936.19	Professional		$1,038.33	$1,241.89	$1,936.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,496.45 / $11,757.12 / $23,543.63	Facility		$5,496.45	$11,757.12	$23,543.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,251.72 / $1,483.13 / $1,726.32	Professional		$1,251.72	$1,483.13	$1,726.32
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 $1,105.84 / $1,540.75 / $2,358.66	Professional		$1,105.84	$1,540.75	$2,358.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.66 / $1,643.83 / $4,065.83	Professional		$1,062.66	$1,643.83	$4,065.83
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 $1,128.71 / $1,295.14 / $1,452.75	Professional		$1,128.71	$1,295.14	$1,452.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,519.80	Professional		$32.34	$32.34	$1,519.80
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 $1,076.42 / $1,393.66 / $2,518.98	Professional		$1,076.42	$1,393.66	$2,518.98