Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,027.46 / $5,549.00	Facility		$1,129.00	$3,027.46	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,604.42 / $1,911.09 / $3,027.46	Professional		$1,604.42	$1,911.09	$3,027.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,458.27 / $18,092.56 / $36,230.35	Facility		$8,458.27	$18,092.56	$36,230.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,894.85 / $2,267.62 / $3,033.00	Professional		$1,894.85	$2,267.62	$3,033.00
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 $1,697.60 / $2,333.16 / $3,713.95	Professional		$1,697.60	$2,333.16	$3,713.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,619.40 / $2,523.46 / $5,908.06	Professional		$1,619.40	$2,523.46	$5,908.06
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 $1,719.43 / $1,988.18 / $2,221.15	Professional		$1,719.43	$1,988.18	$2,221.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,511.61	Professional		$32.34	$32.34	$2,511.61
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 $1,674.98 / $2,341.44 / $3,918.70	Professional		$1,674.98	$2,341.44	$3,918.70