Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,723.94 / $5,549.00	Facility		$1,129.00	$2,723.94	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,455.15 / $1,741.02 / $2,735.21	Professional		$1,455.15	$1,741.02	$2,735.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,705.52 / $16,482.40 / $33,006.00	Facility		$7,705.52	$16,482.40	$33,006.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,734.37 / $2,075.57 / $2,594.57	Professional		$1,734.37	$2,075.57	$2,594.57
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 $1,519.15 / $2,111.23 / $3,540.48	Professional		$1,519.15	$2,111.23	$3,540.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,483.65 / $2,299.23 / $5,787.34	Professional		$1,483.65	$2,299.23	$5,787.34
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 $1,522.83 / $1,811.51 / $2,033.04	Professional		$1,522.83	$1,811.51	$2,033.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,298.90	Professional		$32.34	$32.34	$2,298.90
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 $1,537.42 / $2,179.28 / $3,524.50	Professional		$1,537.42	$2,179.28	$3,524.50