Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,536.03 / $5,549.00	Facility		$1,129.00	$2,536.03	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,362.36 / $1,629.73 / $2,536.03	Professional		$1,362.36	$1,629.73	$2,536.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,213.00 / $15,428.88 / $30,896.33	Facility		$7,213.00	$15,428.88	$30,896.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,640.32 / $1,943.57 / $2,262.19	Professional		$1,640.32	$1,943.57	$2,262.19
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 $1,445.27 / $2,031.51 / $3,037.02	Professional		$1,445.27	$2,031.51	$3,037.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.76 / $2,219.37 / $6,083.01	Professional		$1,390.76	$2,219.37	$6,083.01
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 $1,474.01 / $1,697.16 / $1,903.75	Professional		$1,474.01	$1,697.16	$1,903.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,152.69	Professional		$32.34	$32.34	$2,152.69
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 $1,373.93 / $1,971.45 / $3,305.68	Professional		$1,373.93	$1,971.45	$3,305.68