Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,455.77 / $5,549.00	Facility		$1,129.00	$2,455.77	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.90 / $1,580.14 / $2,490.29	Professional		$1,320.90	$1,580.14	$2,490.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,993.53 / $14,959.44 / $29,956.27	Facility		$6,993.53	$14,959.44	$29,956.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,591.27 / $1,885.45 / $2,521.84	Professional		$1,591.27	$1,885.45	$2,521.84
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 $1,393.07 / $2,026.28 / $3,049.38	Professional		$1,393.07	$2,026.28	$3,049.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.47 / $2,152.91 / $5,185.51	Professional		$1,349.47	$2,152.91	$5,185.51
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 $1,430.70 / $1,646.35 / $1,846.82	Professional		$1,430.70	$1,646.35	$1,846.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,088.33	Professional		$32.34	$32.34	$2,088.33
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,331.71 / $1,914.64 / $3,204.09	Professional		$1,331.71	$1,914.64	$3,204.09