Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,876.87 / $5,549.00	Facility		$1,129.00	$1,876.87	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,003.57 / $1,200.66 / $1,922.04	Professional		$1,003.57	$1,200.66	$1,922.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,219.95 / $8,752.49 / $20,360.91	Facility		$4,219.95	$8,752.49	$20,360.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,065.79 / $1,431.22 / $1,665.26	Professional		$1,065.79	$1,431.22	$1,665.26
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 $1,057.11 / $1,506.14 / $2,452.67	Professional		$1,057.11	$1,506.14	$2,452.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,022.33 / $1,585.68 / $4,260.03	Professional		$1,022.33	$1,585.68	$4,260.03
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 $1,054.22 / $1,249.33 / $1,401.89	Professional		$1,054.22	$1,249.33	$1,401.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,466.60	Professional		$32.34	$32.34	$1,466.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,010.15 / $1,515.05 / $2,430.42	Professional		$1,010.15	$1,515.05	$2,430.42