Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,450.96 / $5,549.00	Facility		$1,129.00	$2,450.96	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.31 / $1,575.36 / $2,450.96	Professional		$1,258.31	$1,575.36	$2,450.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,972.36 / $14,914.16 / $29,865.60	Facility		$6,972.36	$14,914.16	$29,865.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,585.96 / $1,879.17 / $2,513.44	Professional		$1,585.96	$1,879.17	$2,513.44
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 $1,397.13 / $1,984.89 / $3,288.16	Professional		$1,397.13	$1,984.89	$3,288.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,343.86 / $2,145.55 / $8,593.54	Professional		$1,343.86	$2,145.55	$8,593.54
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 $1,422.64 / $1,640.72 / $1,840.67	Professional		$1,422.64	$1,640.72	$1,840.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,081.37	Professional		$32.34	$32.34	$2,081.37
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 $1,431.06 / $1,984.44 / $3,040.54	Professional		$1,431.06	$1,984.44	$3,040.54