Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,385.96 / $5,549.00	Facility		$1,129.00	$2,385.96	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,282.50 / $1,534.24 / $2,385.96	Professional		$1,282.50	$1,534.24	$2,385.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,790.38 / $14,524.88 / $29,086.07	Facility		$6,790.38	$14,524.88	$29,086.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,543.51 / $1,828.87 / $2,128.71	Professional		$1,543.51	$1,828.87	$2,128.71
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 $1,360.67 / $1,929.20 / $3,014.19	Professional		$1,360.67	$1,929.20	$3,014.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.34 / $2,088.42 / $8,208.65	Professional		$1,308.34	$2,088.42	$8,208.65
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 $1,386.11 / $1,597.02 / $1,791.40	Professional		$1,386.11	$1,597.02	$1,791.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,025.66	Professional		$32.34	$32.34	$2,025.66
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 $1,308.33 / $1,799.77 / $3,110.31	Professional		$1,308.33	$1,799.77	$3,110.31