Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,575.73 / $5,549.00	Facility		$1,129.00	$2,575.73	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,358.19 / $1,624.09 / $2,579.04	Professional		$1,358.19	$1,624.09	$2,579.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,188.05 / $15,375.52 / $30,789.47	Facility		$7,188.05	$15,375.52	$30,789.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,615.01 / $1,932.72 / $2,249.06	Professional		$1,615.01	$1,932.72	$2,249.06
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 $1,440.71 / $1,979.63 / $3,252.28	Professional		$1,440.71	$1,979.63	$3,252.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,379.74 / $2,141.58 / $5,440.94	Professional		$1,379.74	$2,141.58	$5,440.94
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 $1,428.32 / $1,687.31 / $1,893.13	Professional		$1,428.32	$1,687.31	$1,893.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,140.69	Professional		$32.34	$32.34	$2,140.69
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 $1,373.21 / $1,968.79 / $3,303.94	Professional		$1,373.21	$1,968.79	$3,303.94