Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,825.41 / $5,549.00	Facility		$1,129.00	$2,825.41	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,516.57 / $1,813.99 / $2,825.41	Professional		$1,516.57	$1,813.99	$2,825.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,028.50 / $17,173.28 / $34,389.49	Facility		$8,028.50	$17,173.28	$34,389.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,826.60 / $2,164.29 / $2,518.85	Professional		$1,826.60	$2,164.29	$2,518.85
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 $1,598.99 / $2,283.02 / $3,499.95	Professional		$1,598.99	$2,283.02	$3,499.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,547.11 / $2,471.17 / $5,958.79	Professional		$1,547.11	$2,471.17	$5,958.79
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 $1,636.74 / $1,889.72 / $2,119.94	Professional		$1,636.74	$1,889.72	$2,119.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,397.17	Professional		$32.34	$32.34	$2,397.17
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 $1,529.48 / $2,254.21 / $3,918.02	Professional		$1,529.48	$2,254.21	$3,918.02