Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,155.83 / $5,657.16	Facility		$1,129.00	$3,155.83	$5,657.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,672.41 / $1,991.72 / $3,155.83	Professional		$1,672.41	$1,991.72	$3,155.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,815.14 / $18,855.91 / $37,758.97	Facility		$8,815.14	$18,855.91	$37,758.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,002.38 / $2,372.57 / $3,173.38	Professional		$2,002.38	$2,372.57	$3,173.38
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 $1,775.66 / $2,459.91 / $3,980.22	Professional		$1,775.66	$2,459.91	$3,980.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,679.69 / $2,735.49 / $6,686.58	Professional		$1,679.69	$2,735.49	$6,686.58
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 $1,808.82 / $2,079.61 / $2,323.96	Professional		$1,808.82	$2,079.61	$2,323.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,627.86	Professional		$32.34	$32.34	$2,627.86
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 $1,699.10 / $2,470.08 / $4,088.03	Professional		$1,699.10	$2,470.08	$4,088.03