Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,149.61 / $5,549.00	Facility		$1,129.00	$2,149.61	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,146.86 / $1,302.85 / $2,159.69	Professional		$1,146.86	$1,302.85	$2,159.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,072.78 / $12,989.92 / $26,012.31	Facility		$6,072.78	$12,989.92	$26,012.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,368.15 / $1,637.29 / $1,904.50	Professional		$1,368.15	$1,637.29	$1,904.50
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 $1,135.83 / $1,674.73 / $2,854.60	Professional		$1,135.83	$1,674.73	$2,854.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,170.35 / $1,813.50 / $4,531.20	Professional		$1,170.35	$1,813.50	$4,531.20
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 $1,200.61 / $1,428.82 / $1,603.75	Professional		$1,200.61	$1,428.82	$1,603.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,813.47	Professional		$32.34	$32.34	$1,813.47
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 $1,155.58 / $1,687.93 / $3,087.95	Professional		$1,155.58	$1,687.93	$3,087.95