Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,185.44 / $5,549.00	Facility		$1,129.00	$2,185.44	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.88 / $1,394.81 / $2,194.53	Professional		$1,165.88	$1,394.81	$2,194.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,173.28 / $13,204.88 / $26,442.77	Facility		$6,173.28	$13,204.88	$26,442.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,389.87 / $1,663.29 / $1,935.06	Professional		$1,389.87	$1,663.29	$1,935.06
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 $1,228.40 / $1,752.14 / $2,962.42	Professional		$1,228.40	$1,752.14	$2,962.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.05 / $1,842.60 / $5,253.74	Professional		$1,189.05	$1,842.60	$5,253.74
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 $1,220.13 / $1,451.75 / $1,629.21	Professional		$1,220.13	$1,451.75	$1,629.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,842.26	Professional		$32.34	$32.34	$1,842.26
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 $1,174.72 / $1,814.59 / $3,139.04	Professional		$1,174.72	$1,814.59	$3,139.04