Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,180.59 / $7,407.00	Facility		$1,129.00	$2,180.59	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.33 / $1,341.23 / $2,085.94	Professional		$1,121.33	$1,341.23	$2,085.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,936.12 / $12,697.60 / $25,426.94	Facility		$5,936.12	$12,697.60	$25,426.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,351.74 / $1,601.65 / $2,142.23	Professional		$1,351.74	$1,601.65	$2,142.23
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 $1,194.09 / $1,682.14 / $2,636.91	Professional		$1,194.09	$1,682.14	$2,636.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,147.24 / $1,775.02 / $4,445.47	Professional		$1,147.24	$1,775.02	$4,445.47
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 $1,217.80 / $1,398.50 / $1,568.83	Professional		$1,217.80	$1,398.50	$1,568.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,773.98	Professional		$32.34	$32.34	$1,773.98
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 $1,131.05 / $1,624.45 / $2,721.31	Professional		$1,131.05	$1,624.45	$2,721.31