Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,588.02 / $5,549.00	Facility		$1,129.00	$2,588.02	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,381.84 / $1,653.34 / $2,649.64	Professional		$1,381.84	$1,653.34	$2,649.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,317.49 / $15,652.40 / $31,343.93	Facility		$7,317.49	$15,652.40	$31,343.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,677.44 / $1,951.30 / $2,428.40	Professional		$1,677.44	$1,951.30	$2,428.40
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 $1,351.57 / $2,013.23 / $3,495.16	Professional		$1,351.57	$2,013.23	$3,495.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,404.72 / $2,184.80 / $5,558.16	Professional		$1,404.72	$2,184.80	$5,558.16
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 $1,450.32 / $1,722.27 / $1,933.02	Professional		$1,450.32	$1,722.27	$1,933.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,185.80	Professional		$32.34	$32.34	$2,185.80
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 $1,390.53 / $2,091.07 / $3,345.62	Professional		$1,390.53	$2,091.07	$3,345.62