Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,708.03 / $5,549.00	Facility		$1,129.00	$2,708.03	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,266.58 / $1,741.29 / $2,708.03	Professional		$1,266.58	$1,741.29	$2,708.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,706.71 / $16,484.96 / $33,011.12	Facility		$7,706.71	$16,484.96	$33,011.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,751.21 / $2,074.96 / $2,415.37	Professional		$1,751.21	$2,074.96	$2,415.37
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 $1,547.25 / $2,188.80 / $3,367.60	Professional		$1,547.25	$2,188.80	$3,367.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,484.03 / $2,369.65 / $9,456.04	Professional		$1,484.03	$2,369.65	$9,456.04
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 $1,571.75 / $1,812.08 / $2,032.46	Professional		$1,571.75	$1,812.08	$2,032.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,298.23	Professional		$32.34	$32.34	$2,298.23
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 $1,564.61 / $2,114.26 / $3,441.95	Professional		$1,564.61	$2,114.26	$3,441.95