Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,809.45 / $5,549.00	Facility		$1,017.00	$2,809.45	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.66 / $1,734.30 / $2,809.45	Professional		$1,334.66	$1,734.30	$2,809.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,986.20 / $17,082.80 / $34,208.30	Facility		$7,986.20	$17,082.80	$34,208.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,795.83 / $2,149.12 / $2,501.91	Professional		$1,795.83	$2,149.12	$2,501.91
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 $1,602.68 / $2,254.94 / $3,501.67	Professional		$1,602.68	$2,254.94	$3,501.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,536.68 / $2,454.55 / $7,255.17	Professional		$1,536.68	$2,454.55	$7,255.17
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 $1,627.03 / $1,877.01 / $2,105.09	Professional		$1,627.03	$1,877.01	$2,105.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,380.37	Professional		$32.34	$32.34	$2,380.37
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 $1,643.43 / $2,205.91 / $3,598.53	Professional		$1,643.43	$2,205.91	$3,598.53