Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.00 / $2,989.00 / $8,089.00	Facility		$1,158.00	$2,989.00	$8,089.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.59 / $1,511.25 / $2,364.92	Professional		$1,281.59	$1,511.25	$2,364.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,330.93 / $11,016.54 / $25,627.77	Facility		$4,330.93	$11,016.54	$25,627.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,497.34 / $1,791.91 / $2,115.13	Professional		$1,497.34	$1,791.91	$2,115.13
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 $1,342.70 / $1,841.08 / $2,778.33	Professional		$1,342.70	$1,841.08	$2,778.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.64 / $2,014.06 / $5,645.63	Professional		$1,220.64	$2,014.06	$5,645.63
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 $1,436.92 / $1,586.83 / $1,755.20	Professional		$1,436.92	$1,586.83	$1,755.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,984.72	Professional		$32.34	$32.34	$1,984.72
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 $1,313.30 / $1,834.69 / $3,159.80	Professional		$1,313.30	$1,834.69	$3,159.80