Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,261.26 / $5,549.00	Facility		$1,129.00	$2,261.26	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.39 / $1,433.97 / $2,261.26	Professional		$1,203.39	$1,433.97	$2,261.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,346.59 / $13,575.60 / $27,185.13	Facility		$6,346.59	$13,575.60	$27,185.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.14 / $1,706.39 / $1,993.79	Professional		$1,440.14	$1,706.39	$1,993.79
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 $1,277.18 / $1,782.72 / $2,736.77	Professional		$1,277.18	$1,782.72	$2,736.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,224.04 / $1,935.84 / $4,720.14	Professional		$1,224.04	$1,935.84	$4,720.14
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 $1,308.78 / $1,495.81 / $1,671.44	Professional		$1,308.78	$1,495.81	$1,671.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,890.01	Professional		$32.34	$32.34	$1,890.01
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 $1,219.47 / $1,738.75 / $3,122.76	Professional		$1,219.47	$1,738.75	$3,122.76