Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,964.09 / $5,549.00	Facility		$1,129.00	$2,964.09	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,306.52 / $1,898.65 / $3,035.34	Professional		$1,306.52	$1,898.65	$3,035.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,403.20 / $17,974.80 / $35,994.53	Facility		$8,403.20	$17,974.80	$35,994.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,906.90 / $2,259.44 / $3,022.06	Professional		$1,906.90	$2,259.44	$3,022.06
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 $1,684.61 / $2,383.39 / $3,393.43	Professional		$1,684.61	$2,383.39	$3,393.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,611.22 / $2,580.04 / $7,673.30	Professional		$1,611.22	$2,580.04	$7,673.30
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 $1,697.93 / $1,972.97 / $2,213.15	Professional		$1,697.93	$1,972.97	$2,213.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,502.56	Professional		$32.34	$32.34	$2,502.56
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 $1,602.02 / $2,285.31 / $3,854.46	Professional		$1,602.02	$2,285.31	$3,854.46