Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,934.97 / $5,549.00	Facility		$1,129.00	$2,934.97	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,360.14 / $1,885.50 / $3,052.39	Professional		$1,360.14	$1,885.50	$3,052.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,344.98 / $17,850.24 / $35,745.10	Facility		$8,344.98	$17,850.24	$35,745.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,896.49 / $2,247.10 / $2,615.50	Professional		$1,896.49	$2,247.10	$2,615.50
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 $1,660.35 / $2,352.23 / $3,628.93	Professional		$1,660.35	$2,352.23	$3,628.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,605.85 / $2,566.00 / $6,182.73	Professional		$1,605.85	$2,566.00	$6,182.73
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 $1,698.31 / $1,962.23 / $2,201.06	Professional		$1,698.31	$1,962.23	$2,201.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,488.89	Professional		$32.34	$32.34	$2,488.89
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 $1,644.58 / $2,280.46 / $3,492.59	Professional		$1,644.58	$2,280.46	$3,492.59