Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,617.61 / $5,549.00	Facility		$1,129.00	$2,617.61	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.63 / $1,673.97 / $2,617.61	Professional		$1,401.63	$1,673.97	$2,617.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,408.79 / $15,847.68 / $31,734.97	Facility		$7,408.79	$15,847.68	$31,734.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,683.29 / $1,994.49 / $2,325.00	Professional		$1,683.29	$1,994.49	$2,325.00
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 $1,481.64 / $2,068.89 / $3,277.28	Professional		$1,481.64	$2,068.89	$3,277.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,408.85 / $2,299.27 / $5,528.42	Professional		$1,408.85	$2,299.27	$5,528.42
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 $1,515.50 / $1,744.29 / $1,953.63	Professional		$1,515.50	$1,744.29	$1,953.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,209.10	Professional		$32.34	$32.34	$2,209.10
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 $1,410.76 / $2,051.05 / $3,718.01	Professional		$1,410.76	$2,051.05	$3,718.01