Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,214.76 / $5,574.75	Facility		$1,129.00	$3,214.76	$5,574.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,646.17 / $1,969.42 / $3,214.76	Professional		$1,646.17	$1,969.42	$3,214.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,716.40 / $18,644.72 / $37,336.05	Facility		$8,716.40	$18,644.72	$37,336.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,962.03 / $2,348.01 / $2,731.58	Professional		$1,962.03	$2,348.01	$2,731.58
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 $1,749.80 / $2,417.92 / $4,049.92	Professional		$1,749.80	$2,417.92	$4,049.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,679.06 / $2,601.06 / $6,693.58	Professional		$1,679.06	$2,601.06	$6,693.58
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 $1,719.71 / $2,049.32 / $2,299.91	Professional		$1,719.71	$2,049.32	$2,299.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,600.67	Professional		$32.34	$32.34	$2,600.67
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 $1,657.96 / $2,509.21 / $4,310.93	Professional		$1,657.96	$2,509.21	$4,310.93