Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,157.59 / $5,549.00	Facility		$1,129.00	$2,157.59	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.30 / $1,366.49 / $2,157.59	Professional		$1,147.30	$1,366.49	$2,157.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,047.91 / $12,936.72 / $25,905.78	Facility		$6,047.91	$12,936.72	$25,905.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,374.46 / $1,628.57 / $2,178.25	Professional		$1,374.46	$1,628.57	$2,178.25
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 $1,218.81 / $1,708.85 / $2,689.75	Professional		$1,218.81	$1,708.85	$2,689.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,167.59 / $1,848.87 / $4,613.43	Professional		$1,167.59	$1,848.87	$4,613.43
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 $1,247.22 / $1,427.44 / $1,595.20	Professional		$1,247.22	$1,427.44	$1,595.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,668.83	Professional		$32.34	$32.34	$1,668.83
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 $1,205.57 / $1,690.24 / $2,570.55	Professional		$1,205.57	$1,690.24	$2,570.55