Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,270.00 / $5,549.00	Facility		$1,129.00	$3,270.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,622.51 / $1,933.90 / $3,692.14	Professional		$1,622.51	$1,933.90	$3,692.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,559.20 / $18,308.48 / $36,662.73	Facility		$8,559.20	$18,308.48	$36,662.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,936.11 / $2,294.05 / $2,679.76	Professional		$1,936.11	$2,294.05	$2,679.76
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 $1,716.61 / $2,592.75 / $4,168.67	Professional		$1,716.61	$2,592.75	$4,168.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,623.81 / $2,644.61 / $7,669.80	Professional		$1,623.81	$2,644.61	$7,669.80
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 $1,730.43 / $2,010.44 / $2,247.05	Professional		$1,730.43	$2,010.44	$2,247.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,540.90	Professional		$32.34	$32.34	$2,540.90
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 $1,788.42 / $2,595.75 / $4,250.97	Professional		$1,788.42	$2,595.75	$4,250.97