Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,674.75 / $5,549.00	Facility		$1,129.00	$2,674.75	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,418.34 / $1,689.29 / $2,674.75	Professional		$1,418.34	$1,689.29	$2,674.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,476.59 / $15,992.72 / $32,025.42	Facility		$7,476.59	$15,992.72	$32,025.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,501.64 / $2,008.04 / $2,346.25	Professional		$1,501.64	$2,008.04	$2,346.25
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 $1,502.96 / $2,073.62 / $3,224.09	Professional		$1,502.96	$2,073.62	$3,224.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,435.51 / $2,234.13 / $6,907.02	Professional		$1,435.51	$2,234.13	$6,907.02
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 $1,526.37 / $1,760.23 / $1,966.90	Professional		$1,526.37	$1,760.23	$1,966.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,224.11	Professional		$32.34	$32.34	$2,224.11
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 $1,439.25 / $2,048.98 / $3,462.84	Professional		$1,439.25	$2,048.98	$3,462.84