Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,571.66 / $5,549.00	Facility		$1,129.00	$2,571.66	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.36 / $1,651.25 / $2,571.66	Professional		$1,380.36	$1,651.25	$2,571.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,308.25 / $15,632.64 / $31,304.36	Facility		$7,308.25	$15,632.64	$31,304.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,656.21 / $1,962.40 / $2,284.51	Professional		$1,656.21	$1,962.40	$2,284.51
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 $1,463.42 / $2,096.80 / $3,169.84	Professional		$1,463.42	$2,096.80	$3,169.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.89 / $2,241.26 / $5,570.40	Professional		$1,400.89	$2,241.26	$5,570.40
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 $1,479.22 / $1,713.91 / $1,922.19	Professional		$1,479.22	$1,713.91	$1,922.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,173.56	Professional		$32.34	$32.34	$2,173.56
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 $1,393.42 / $2,069.51 / $3,352.57	Professional		$1,393.42	$2,069.51	$3,352.57