Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,941.58 / $5,549.00	Facility		$1,129.00	$2,941.58	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,571.06 / $1,879.45 / $2,981.21	Professional		$1,571.06	$1,879.45	$2,981.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,318.20 / $17,792.96 / $35,630.40	Facility		$8,318.20	$17,792.96	$35,630.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,871.22 / $2,239.33 / $2,605.86	Professional		$1,871.22	$2,239.33	$2,605.86
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 $1,644.34 / $2,294.13 / $3,990.04	Professional		$1,644.34	$2,294.13	$3,990.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,601.14 / $2,481.34 / $6,287.70	Professional		$1,601.14	$2,481.34	$6,287.70
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 $1,643.20 / $1,954.99 / $2,193.44	Professional		$1,643.20	$1,954.99	$2,193.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,480.29	Professional		$32.34	$32.34	$2,480.29
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 $1,651.78 / $2,375.44 / $3,807.57	Professional		$1,651.78	$2,375.44	$3,807.57