Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,797.81 / $5,549.00	Facility		$1,129.00	$2,797.81	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,478.92 / $1,761.79 / $2,823.24	Professional		$1,478.92	$1,761.79	$2,823.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,797.48 / $16,679.12 / $33,399.93	Facility		$7,797.48	$16,679.12	$33,399.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,749.03 / $2,093.11 / $2,614.82	Professional		$1,749.03	$2,093.11	$2,614.82
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 $1,566.90 / $2,172.92 / $3,502.97	Professional		$1,566.90	$2,172.92	$3,502.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,498.68 / $2,380.65 / $5,824.08	Professional		$1,498.68	$2,380.65	$5,824.08
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 $1,597.99 / $1,835.11 / $2,050.21	Professional		$1,597.99	$1,835.11	$2,050.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,318.32	Professional		$32.34	$32.34	$2,318.32
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 $1,540.70 / $2,230.16 / $3,605.25	Professional		$1,540.70	$2,230.16	$3,605.25