Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,761.21 / $5,549.00	Facility		$1,129.00	$2,761.21	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,466.10 / $1,746.48 / $2,761.21	Professional		$1,466.10	$1,746.48	$2,761.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,729.71 / $16,534.16 / $33,109.65	Facility		$7,729.71	$16,534.16	$33,109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,753.40 / $2,077.57 / $2,427.71	Professional		$1,753.40	$2,077.57	$2,427.71
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 $1,555.15 / $2,158.64 / $3,423.17	Professional		$1,555.15	$2,158.64	$3,423.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,487.91 / $2,311.69 / $5,817.08	Professional		$1,487.91	$2,311.69	$5,817.08
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 $1,586.98 / $1,821.34 / $2,035.01	Professional		$1,586.98	$1,821.34	$2,035.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,301.12	Professional		$32.34	$32.34	$2,301.12
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 $1,487.25 / $2,137.71 / $3,578.32	Professional		$1,487.25	$2,137.71	$3,578.32