Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,981.31 / $5,549.00	Facility		$1,129.00	$2,981.31	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,583.34 / $1,882.97 / $3,044.88	Professional		$1,583.34	$1,882.97	$3,044.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,333.84 / $17,826.40 / $35,697.36	Facility		$8,333.84	$17,826.40	$35,697.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,884.04 / $2,254.67 / $2,638.08	Professional		$1,884.04	$2,254.67	$2,638.08
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 $1,689.91 / $2,338.04 / $3,640.61	Professional		$1,689.91	$2,338.04	$3,640.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,614.14 / $2,512.03 / $8,574.29	Professional		$1,614.14	$2,512.03	$8,574.29
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 $1,723.31 / $1,979.17 / $2,208.48	Professional		$1,723.31	$1,979.17	$2,208.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,497.28	Professional		$32.34	$32.34	$2,497.28
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 $1,615.37 / $2,305.59 / $4,145.76	Professional		$1,615.37	$2,305.59	$4,145.76