Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,215.97 / $5,841.83	Facility		$1,129.00	$3,215.97	$5,841.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,510.53 / $1,981.44 / $3,215.97	Professional		$1,510.53	$1,981.44	$3,215.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,137.86 / $19,546.24 / $39,141.33	Facility		$9,137.86	$19,546.24	$39,141.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,075.44 / $2,459.16 / $3,289.18	Professional		$2,075.44	$2,459.16	$3,289.18
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 $1,824.12 / $2,594.06 / $3,997.40	Professional		$1,824.12	$2,594.06	$3,997.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,756.25 / $2,808.26 / $8,115.93	Professional		$1,756.25	$2,808.26	$8,115.93
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 $1,855.48 / $2,147.50 / $2,408.77	Professional		$1,855.48	$2,147.50	$2,408.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,723.76	Professional		$32.34	$32.34	$2,723.76
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 $1,803.19 / $2,496.67 / $4,187.88	Professional		$1,803.19	$2,496.67	$4,187.88