Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,027.94 / $5,549.00	Facility		$1,129.00	$3,027.94	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,607.87 / $1,915.69 / $3,027.94	Professional		$1,607.87	$1,915.69	$3,027.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,478.61 / $18,136.08 / $36,317.50	Facility		$8,478.61	$18,136.08	$36,317.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,922.11 / $2,277.46 / $2,814.91	Professional		$1,922.11	$2,277.46	$2,814.91
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 $1,704.61 / $2,394.48 / $3,796.25	Professional		$1,704.61	$2,394.48	$3,796.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,629.84 / $2,610.67 / $6,392.67	Professional		$1,629.84	$2,610.67	$6,392.67
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 $1,736.01 / $1,996.40 / $2,230.80	Professional		$1,736.01	$1,996.40	$2,230.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,522.52	Professional		$32.34	$32.34	$2,522.52
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 $1,631.25 / $2,371.63 / $3,924.79	Professional		$1,631.25	$2,371.63	$3,924.79