Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,978.67 / $5,549.00	Facility		$1,129.00	$2,978.67	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.10 / $1,903.16 / $2,978.67	Professional		$1,395.10	$1,903.16	$2,978.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,423.19 / $18,017.52 / $36,080.08	Facility		$8,423.19	$18,017.52	$36,080.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,913.03 / $2,266.69 / $3,031.77	Professional		$1,913.03	$2,266.69	$3,031.77
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 $1,675.05 / $2,322.75 / $3,687.85	Professional		$1,675.05	$2,322.75	$3,687.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,598.70 / $2,613.07 / $6,201.97	Professional		$1,598.70	$2,613.07	$6,201.97
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 $1,701.83 / $1,979.34 / $2,220.26	Professional		$1,701.83	$1,979.34	$2,220.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,510.60	Professional		$32.34	$32.34	$2,510.60
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 $1,611.35 / $2,311.37 / $3,867.48	Professional		$1,611.35	$2,311.37	$3,867.48