Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,989.00 / $7,407.00	Facility		$1,017.00	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.90 / $1,204.19 / $1,745.79	Professional		$1,010.90	$1,204.19	$1,745.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,329.57 / $11,400.16 / $22,828.82	Facility		$5,329.57	$11,400.16	$22,828.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,193.06 / $1,427.76 / $1,788.50	Professional		$1,193.06	$1,427.76	$1,788.50
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 $1,069.04 / $1,506.09 / $2,189.54	Professional		$1,069.04	$1,506.09	$2,189.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.55 / $1,645.94 / $4,524.20	Professional		$1,018.55	$1,645.94	$4,524.20
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 $1,079.83 / $1,252.03 / $1,398.51	Professional		$1,079.83	$1,252.03	$1,398.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,581.40	Professional		$32.34	$32.34	$1,581.40
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.43 / $1,498.80 / $2,472.96	Professional		$1,064.43	$1,498.80	$2,472.96