Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,028.34 / $5,549.00	Facility		$1,129.00	$2,028.34	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.23 / $1,323.42 / $2,028.34	Professional		$1,106.23	$1,323.42	$2,028.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,857.32 / $12,529.04 / $25,089.40	Facility		$5,857.32	$12,529.04	$25,089.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,329.01 / $1,574.72 / $1,833.25	Professional		$1,329.01	$1,574.72	$1,833.25
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 $1,174.34 / $1,630.45 / $2,522.09	Professional		$1,174.34	$1,630.45	$2,522.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.98 / $1,754.79 / $4,337.01	Professional		$1,125.98	$1,754.79	$4,337.01
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 $1,192.23 / $1,375.36 / $1,542.45	Professional		$1,192.23	$1,375.36	$1,542.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,744.16	Professional		$32.34	$32.34	$1,744.16
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 $1,098.93 / $1,590.93 / $2,644.03	Professional		$1,098.93	$1,590.93	$2,644.03