Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,819.66 / $5,549.00	Facility		$1,129.00	$2,819.66	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,501.25 / $1,788.53 / $2,819.66	Professional		$1,501.25	$1,788.53	$2,819.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,915.82 / $16,932.24 / $33,906.81	Facility		$7,915.82	$16,932.24	$33,906.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,777.07 / $2,126.67 / $2,655.20	Professional		$1,777.07	$2,126.67	$2,655.20
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 $1,591.79 / $2,165.42 / $3,458.72	Professional		$1,591.79	$2,165.42	$3,458.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,523.23 / $2,366.17 / $5,883.56	Professional		$1,523.23	$2,366.17	$5,883.56
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 $1,624.77 / $1,864.25 / $2,083.09	Professional		$1,624.77	$1,864.25	$2,083.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,355.50	Professional		$32.34	$32.34	$2,355.50
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 $1,637.73 / $2,181.02 / $3,359.21	Professional		$1,637.73	$2,181.02	$3,359.21