Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,829.40 / $5,549.00	Facility		$1,129.00	$2,829.40	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,514.78 / $1,812.08 / $2,829.40	Professional		$1,514.78	$1,812.08	$2,829.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,020.05 / $17,155.20 / $34,353.28	Facility		$8,020.05	$17,155.20	$34,353.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,783.21 / $2,134.01 / $2,687.93	Professional		$1,783.21	$2,134.01	$2,687.93
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 $1,591.44 / $2,197.23 / $3,606.81	Professional		$1,591.44	$2,197.23	$3,606.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,523.40 / $2,365.65 / $5,967.54	Professional		$1,523.40	$2,365.65	$5,967.54
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 $1,580.46 / $1,863.85 / $2,090.28	Professional		$1,580.46	$1,863.85	$2,090.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,363.63	Professional		$32.34	$32.34	$2,363.63
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 $1,524.06 / $2,241.06 / $3,943.40	Professional		$1,524.06	$2,241.06	$3,943.40