Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,126.17 / $9,691.00	Facility		$1,159.00	$3,126.17	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,658.99 / $1,975.99 / $3,126.17	Professional		$1,658.99	$1,975.99	$3,126.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,745.50 / $18,706.96 / $37,460.68	Facility		$8,745.50	$18,706.96	$37,460.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,985.06 / $2,352.05 / $2,748.08	Professional		$1,985.06	$2,352.05	$2,748.08
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 $1,760.37 / $2,435.81 / $3,904.65	Professional		$1,760.37	$2,435.81	$3,904.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,682.83 / $2,616.77 / $6,635.85	Professional		$1,682.83	$2,616.77	$6,635.85
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 $1,791.69 / $2,061.69 / $2,303.86	Professional		$1,791.69	$2,061.69	$2,303.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,605.13	Professional		$32.34	$32.34	$2,605.13
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 $1,683.58 / $2,449.30 / $4,445.70	Professional		$1,683.58	$2,449.30	$4,445.70