Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,799.35 / $5,549.00	Facility		$1,129.00	$2,799.35	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,495.31 / $1,788.90 / $2,804.24	Professional		$1,495.31	$1,788.90	$2,804.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,917.46 / $16,935.75 / $33,913.85	Facility		$7,917.46	$16,935.75	$33,913.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,781.75 / $2,132.27 / $2,480.84	Professional		$1,781.75	$2,132.27	$2,480.84
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 $1,563.22 / $2,247.38 / $3,643.13	Professional		$1,563.22	$2,247.38	$3,643.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,431.69 / $2,362.29 / $5,944.80	Professional		$1,431.69	$2,362.29	$5,944.80
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 $1,563.80 / $1,861.20 / $2,088.58	Professional		$1,563.80	$1,861.20	$2,088.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,361.69	Professional		$32.34	$32.34	$2,361.69
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 $1,505.30 / $2,181.85 / $3,621.75	Professional		$1,505.30	$2,181.85	$3,621.75