Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,358.36 / $5,549.00	Facility		$1,129.00	$2,358.36	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.09 / $1,456.10 / $2,358.36	Professional		$1,217.09	$1,456.10	$2,358.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,444.50 / $13,785.04 / $27,604.54	Facility		$6,444.50	$13,785.04	$27,604.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,450.74 / $1,736.14 / $2,019.91	Professional		$1,450.74	$1,736.14	$2,019.91
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 $1,293.92 / $1,828.54 / $3,022.37	Professional		$1,293.92	$1,828.54	$3,022.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.97 / $2,001.44 / $6,142.49	Professional		$1,223.97	$2,001.44	$6,142.49
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 $1,274.14 / $1,515.40 / $1,700.57	Professional		$1,274.14	$1,515.40	$1,700.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,922.95	Professional		$32.34	$32.34	$1,922.95
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 $1,334.30 / $1,876.71 / $3,072.10	Professional		$1,334.30	$1,876.71	$3,072.10