Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,108.77 / $5,549.00	Facility		$1,129.00	$3,108.77	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,635.57 / $1,947.19 / $3,108.77	Professional		$1,635.57	$1,947.19	$3,108.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,618.04 / $18,434.32 / $36,914.72	Facility		$8,618.04	$18,434.32	$36,914.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,928.00 / $2,307.28 / $3,356.83	Professional		$1,928.00	$2,307.28	$3,356.83
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 $1,561.99 / $2,388.19 / $3,388.73	Professional		$1,561.99	$2,388.19	$3,388.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,634.46 / $2,490.61 / $6,530.88	Professional		$1,634.46	$2,490.61	$6,530.88
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 $1,729.60 / $2,023.62 / $2,260.01	Professional		$1,729.60	$2,023.62	$2,260.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,555.55	Professional		$32.34	$32.34	$2,555.55
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 $1,545.80 / $2,289.65 / $3,999.47	Professional		$1,545.80	$2,289.65	$3,999.47