Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,486.29 / $5,549.00	Facility		$1,129.00	$2,486.29	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,313.74 / $1,586.80 / $2,496.39	Professional		$1,313.74	$1,586.80	$2,496.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,023.00 / $15,022.48 / $30,082.51	Facility		$7,023.00	$15,022.48	$30,082.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,582.14 / $1,893.39 / $2,365.96	Professional		$1,582.14	$1,893.39	$2,365.96
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 $1,398.06 / $1,936.04 / $3,298.87	Professional		$1,398.06	$1,936.04	$3,298.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,353.69 / $2,097.08 / $5,297.48	Professional		$1,353.69	$2,097.08	$5,297.48
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 $1,386.88 / $1,652.25 / $1,854.59	Professional		$1,386.88	$1,652.25	$1,854.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,097.12	Professional		$32.34	$32.34	$2,097.12
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,335.68 / $2,057.29 / $3,471.80	Professional		$1,335.68	$2,057.29	$3,471.80