Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,966.50 / $5,549.00	Facility		$1,129.00	$2,966.50	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,585.17 / $1,896.63 / $3,003.08	Professional		$1,585.17	$1,896.63	$3,003.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,394.28 / $17,955.68 / $35,956.24	Facility		$8,394.28	$17,955.68	$35,956.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,887.87 / $2,259.26 / $2,628.67	Professional		$1,887.87	$2,259.26	$2,628.67
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 $1,668.71 / $2,314.30 / $3,851.33	Professional		$1,668.71	$2,314.30	$3,851.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,615.35 / $2,503.07 / $6,289.45	Professional		$1,615.35	$2,503.07	$6,289.45
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 $1,656.86 / $1,972.11 / $2,212.98	Professional		$1,656.86	$1,972.11	$2,212.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,502.37	Professional		$32.34	$32.34	$2,502.37
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 $1,675.94 / $2,378.56 / $4,149.18	Professional		$1,675.94	$2,378.56	$4,149.18