Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,849.27 / $5,549.00	Facility		$1,129.00	$2,849.27	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.46 / $1,817.98 / $2,907.46	Professional		$1,519.46	$1,817.98	$2,907.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,046.16 / $17,211.04 / $34,465.10	Facility		$8,046.16	$17,211.04	$34,465.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,809.18 / $2,165.09 / $2,895.86	Professional		$1,809.18	$2,165.09	$2,895.86
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 $1,398.13 / $2,220.25 / $3,848.64	Professional		$1,398.13	$2,220.25	$3,848.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,440.88 / $2,325.96 / $6,149.49	Professional		$1,440.88	$2,325.96	$6,149.49
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 $1,586.09 / $1,889.85 / $2,120.73	Professional		$1,586.09	$1,889.85	$2,120.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,398.06	Professional		$32.34	$32.34	$2,398.06
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 $1,531.28 / $2,296.92 / $3,684.26	Professional		$1,531.28	$2,296.92	$3,684.26