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 $1,018.57 / $1,218.55 / $2,040.25	Professional		$1,018.57	$1,218.55	$2,040.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,282.82 / $8,882.90 / $20,664.28	Facility		$4,282.82	$8,882.90	$20,664.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,215.65 / $1,454.80 / $1,817.98	Professional		$1,215.65	$1,454.80	$1,817.98
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 $1,074.60 / $1,529.66 / $2,569.12	Professional		$1,074.60	$1,529.66	$2,569.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.69 / $1,611.92 / $4,951.08	Professional		$1,038.69	$1,611.92	$4,951.08
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 $1,074.22 / $1,270.00 / $1,425.00	Professional		$1,074.22	$1,270.00	$1,425.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,611.34	Professional		$32.34	$32.34	$1,611.34
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 $1,074.42 / $1,581.18 / $2,468.63	Professional		$1,074.42	$1,581.18	$2,468.63