Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,904.66 / $5,549.00	Facility		$1,129.00	$1,904.66	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.81 / $1,219.71 / $1,904.66	Professional		$1,019.81	$1,219.71	$1,904.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,398.31 / $11,547.20 / $23,123.26	Facility		$5,398.31	$11,547.20	$23,123.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,228.09 / $1,455.14 / $1,946.29	Professional		$1,228.09	$1,455.14	$1,946.29
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 $1,084.77 / $1,534.97 / $2,353.87	Professional		$1,084.77	$1,534.97	$2,353.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.32 / $1,657.85 / $4,851.35	Professional		$1,039.32	$1,657.85	$4,851.35
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 $1,097.93 / $1,270.45 / $1,425.33	Professional		$1,097.93	$1,270.45	$1,425.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,611.72	Professional		$32.34	$32.34	$1,611.72
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 $1,092.82 / $1,464.48 / $2,479.05	Professional		$1,092.82	$1,464.48	$2,479.05