Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,033.52 / $5,549.00	Facility		$1,129.00	$3,033.52	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,416.88 / $1,948.27 / $3,033.52	Professional		$1,416.88	$1,948.27	$3,033.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,622.83 / $18,444.56 / $36,935.23	Facility		$8,622.83	$18,444.56	$36,935.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,959.43 / $2,321.67 / $3,105.31	Professional		$1,959.43	$2,321.67	$3,105.31
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 $1,717.62 / $2,431.39 / $3,777.46	Professional		$1,717.62	$2,431.39	$3,777.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,658.67 / $2,651.10 / $6,348.93	Professional		$1,658.67	$2,651.10	$6,348.93
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 $1,753.30 / $2,027.31 / $2,274.12	Professional		$1,753.30	$2,027.31	$2,274.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,571.50	Professional		$32.34	$32.34	$2,571.50
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 $1,641.72 / $2,367.14 / $3,949.98	Professional		$1,641.72	$2,367.14	$3,949.98