Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,987.29 / $5,549.00	Facility		$1,129.00	$2,987.29	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,602.07 / $1,916.32 / $2,987.29	Professional		$1,602.07	$1,916.32	$2,987.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,481.37 / $18,142.00 / $36,329.35	Facility		$8,481.37	$18,142.00	$36,329.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,927.78 / $2,284.17 / $2,658.40	Professional		$1,927.78	$2,284.17	$2,658.40
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 $1,691.92 / $2,409.48 / $3,668.83	Professional		$1,691.92	$2,409.48	$3,668.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,630.94 / $2,608.07 / $6,228.22	Professional		$1,630.94	$2,608.07	$6,228.22
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 $1,722.18 / $1,994.41 / $2,237.38	Professional		$1,722.18	$1,994.41	$2,237.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,529.96	Professional		$32.34	$32.34	$2,529.96
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 $1,615.73 / $2,312.75 / $3,887.45	Professional		$1,615.73	$2,312.75	$3,887.45