Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,747.00 / $7,407.00	Facility		$1,129.00	$2,747.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,430.80 / $1,708.61 / $2,727.30	Professional		$1,430.80	$1,708.61	$2,727.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,562.13 / $16,175.68 / $32,391.79	Facility		$7,562.13	$16,175.68	$32,391.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,693.80 / $2,027.01 / $2,362.92	Professional		$1,693.80	$2,027.01	$2,362.92
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 $1,513.65 / $2,091.10 / $3,350.98	Professional		$1,513.65	$2,091.10	$3,350.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,448.13 / $2,250.02 / $5,621.14	Professional		$1,448.13	$2,250.02	$5,621.14
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 $1,533.69 / $1,772.75 / $1,985.49	Professional		$1,533.69	$1,772.75	$1,985.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,245.13	Professional		$32.34	$32.34	$2,245.13
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,442.14 / $2,112.33 / $3,700.31	Professional		$1,442.14	$2,112.33	$3,700.31