Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,413.41 / $7,407.00	Facility		$1,129.00	$2,413.41	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,104.73 / $1,485.84 / $2,308.14	Professional		$1,104.73	$1,485.84	$2,308.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,576.15 / $14,066.64 / $28,168.44	Facility		$6,576.15	$14,066.64	$28,168.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,494.66 / $1,770.99 / $2,061.59	Professional		$1,494.66	$1,770.99	$2,061.59
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 $1,315.99 / $1,868.15 / $2,883.76	Professional		$1,315.99	$1,868.15	$2,883.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,268.58 / $2,022.58 / $6,884.28	Professional		$1,268.58	$2,022.58	$6,884.28
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 $1,347.06 / $1,546.68 / $1,734.71	Professional		$1,347.06	$1,546.68	$1,734.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,961.55	Professional		$32.34	$32.34	$1,961.55
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 $1,270.20 / $1,780.08 / $3,012.19	Professional		$1,270.20	$1,780.08	$3,012.19