Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,749.52 / $5,549.00	Facility		$1,129.00	$2,749.52	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,274.58 / $1,762.09 / $2,749.52	Professional		$1,274.58	$1,762.09	$2,749.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,798.79 / $16,681.91 / $33,405.54	Facility		$7,798.79	$16,681.91	$33,405.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,767.83 / $2,094.66 / $2,438.52	Professional		$1,767.83	$2,094.66	$2,438.52
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 $1,562.07 / $2,209.57 / $3,411.89	Professional		$1,562.07	$2,209.57	$3,411.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.65 / $2,392.36 / $8,154.41	Professional		$1,494.65	$2,392.36	$8,154.41
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 $1,577.13 / $1,829.45 / $2,051.73	Professional		$1,577.13	$1,829.45	$2,051.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,320.04	Professional		$32.34	$32.34	$2,320.04
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 $1,540.35 / $2,193.19 / $3,574.86	Professional		$1,540.35	$2,193.19	$3,574.86