Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.00 / $5,389.00 / $9,691.00	Facility		$1,278.00	$5,389.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.14 / $1,317.42 / $2,108.36	Professional		$1,106.14	$1,317.42	$2,108.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,508.38 / $6,879.49 / $22,029.09	Facility		$2,508.38	$6,879.49	$22,029.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.86 / $1,562.69 / $1,826.68	Professional		$1,318.86	$1,562.69	$1,826.68
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 $1,170.14 / $1,648.41 / $2,397.64	Professional		$1,170.14	$1,648.41	$2,397.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.86 / $1,801.48 / $4,156.81	Professional		$1,114.86	$1,801.48	$4,156.81
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 $1,182.16 / $1,370.43 / $1,530.67	Professional		$1,182.16	$1,370.43	$1,530.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,730.84	Professional		$32.34	$32.34	$1,730.84
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 $1,179.39 / $1,579.22 / $2,737.81	Professional		$1,179.39	$1,579.22	$2,737.81