Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,435.84 / $5,549.00	Facility		$1,129.00	$2,435.84	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,307.09 / $1,563.54 / $2,435.84	Professional		$1,307.09	$1,563.54	$2,435.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,920.04 / $14,802.24 / $29,641.48	Facility		$6,920.04	$14,802.24	$29,641.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,569.11 / $1,859.20 / $2,164.39	Professional		$1,569.11	$1,859.20	$2,164.39
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 $1,386.47 / $1,950.56 / $3,353.99	Professional		$1,386.47	$1,950.56	$3,353.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.76 / $2,123.42 / $5,901.06	Professional		$1,327.76	$2,123.42	$5,901.06
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 $1,402.97 / $1,623.79 / $1,821.12	Professional		$1,402.97	$1,623.79	$1,821.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,059.26	Professional		$32.34	$32.34	$2,059.26
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 $1,319.07 / $2,044.53 / $3,173.68	Professional		$1,319.07	$2,044.53	$3,173.68