Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,438.13 / $5,549.00	Facility		$1,129.00	$2,438.13	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.06 / $1,572.38 / $2,438.13	Professional		$1,314.06	$1,572.38	$2,438.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,959.16 / $14,885.92 / $29,809.05	Facility		$6,959.16	$14,885.92	$29,809.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,469.38 / $1,758.45 / $2,045.63	Professional		$1,469.38	$1,758.45	$2,045.63
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 $1,310.40 / $1,854.91 / $3,044.18	Professional		$1,310.40	$1,854.91	$3,044.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,256.36 / $1,947.89 / $5,154.02	Professional		$1,256.36	$1,947.89	$5,154.02
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 $1,292.81 / $1,534.70 / $1,722.42	Professional		$1,292.81	$1,534.70	$1,722.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,947.66	Professional		$32.34	$32.34	$1,947.66
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 $1,323.04 / $1,896.13 / $3,183.23	Professional		$1,323.04	$1,896.13	$3,183.23