Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,984.57 / $5,549.00	Facility		$1,129.00	$2,984.57	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,601.37 / $1,915.58 / $2,984.57	Professional		$1,601.37	$1,915.58	$2,984.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,478.12 / $18,135.04 / $36,315.41	Facility		$8,478.12	$18,135.04	$36,315.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,926.68 / $2,282.88 / $2,656.77	Professional		$1,926.68	$2,282.88	$2,656.77
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 $1,686.55 / $2,408.11 / $3,711.22	Professional		$1,686.55	$2,408.11	$3,711.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,629.95 / $2,606.46 / $6,247.46	Professional		$1,629.95	$2,606.46	$6,247.46
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 $1,720.94 / $1,993.19 / $2,236.10	Professional		$1,720.94	$1,993.19	$2,236.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,528.52	Professional		$32.34	$32.34	$2,528.52
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 $1,672.74 / $2,383.86 / $3,884.85	Professional		$1,672.74	$2,383.86	$3,884.85