Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,849.53 / $5,549.00	Facility		$1,129.00	$2,849.53	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,527.13 / $1,817.52 / $2,771.14	Professional		$1,527.13	$1,817.52	$2,771.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,044.14 / $17,206.72 / $34,456.44	Facility		$8,044.14	$17,206.72	$34,456.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,662.29 / $1,989.30 / $2,448.28	Professional		$1,662.29	$1,989.30	$2,448.28
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 $1,469.24 / $2,098.44 / $3,536.15	Professional		$1,469.24	$2,098.44	$3,536.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,335.67 / $2,203.86 / $5,937.80	Professional		$1,335.67	$2,203.86	$5,937.80
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 $1,459.99 / $1,736.37 / $1,948.54	Professional		$1,459.99	$1,736.37	$1,948.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,203.35	Professional		$32.34	$32.34	$2,203.35
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 $1,522.98 / $2,187.98 / $3,908.49	Professional		$1,522.98	$2,187.98	$3,908.49