Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,923.09 / $5,549.00	Facility		$1,129.00	$1,923.09	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.72 / $1,232.36 / $1,972.86	Professional		$1,029.72	$1,232.36	$1,972.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,480.26 / $9,973.95 / $20,898.58	Facility		$6,480.26	$9,973.95	$20,898.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,227.93 / $1,469.49 / $1,833.66	Professional		$1,227.93	$1,469.49	$1,833.66
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 $1,085.07 / $1,498.36 / $2,498.27	Professional		$1,085.07	$1,498.36	$2,498.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.23 / $1,627.61 / $4,135.81	Professional		$1,049.23	$1,627.61	$4,135.81
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 $1,082.97 / $1,282.35 / $1,439.39	Professional		$1,082.97	$1,282.35	$1,439.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,627.61	Professional		$32.34	$32.34	$1,627.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,612.00 / $14,716.00	Facility		$1,602.00	$7,612.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,036.13 / $1,581.76 / $2,492.92	Professional		$1,036.13	$1,581.76	$2,492.92