Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,665.49 / $5,549.00	Facility		$1,129.00	$2,665.49	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.54 / $1,652.24 / $2,665.49	Professional		$1,214.54	$1,652.24	$2,665.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,540.06 / $16,128.48 / $32,297.28	Facility		$7,540.06	$16,128.48	$32,297.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,719.75 / $2,037.69 / $2,374.90	Professional		$1,719.75	$2,037.69	$2,374.90
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 $1,521.32 / $2,137.71 / $3,327.44	Professional		$1,521.32	$2,137.71	$3,327.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,456.83 / $2,261.42 / $5,621.14	Professional		$1,456.83	$2,261.42	$5,621.14
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 $1,544.39 / $1,781.73 / $1,995.94	Professional		$1,544.39	$1,781.73	$1,995.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,256.94	Professional		$32.34	$32.34	$2,256.94
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 $1,451.16 / $2,082.04 / $3,719.35	Professional		$1,451.16	$2,082.04	$3,719.35