Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,109.31 / $5,549.00	Facility		$1,129.00	$2,109.31	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.57 / $1,272.50 / $2,109.31	Professional		$1,063.57	$1,272.50	$2,109.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,631.95 / $12,046.96 / $24,124.03	Facility		$5,631.95	$12,046.96	$24,124.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,267.14 / $1,516.42 / $1,764.37	Professional		$1,267.14	$1,516.42	$1,764.37
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 $1,130.23 / $1,590.01 / $2,628.65	Professional		$1,130.23	$1,590.01	$2,628.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,083.83 / $1,680.06 / $4,469.97	Professional		$1,083.83	$1,680.06	$4,469.97
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 $1,113.96 / $1,323.69 / $1,485.35	Professional		$1,113.96	$1,323.69	$1,485.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,679.59	Professional		$32.34	$32.34	$1,679.59
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 $1,070.78 / $1,645.72 / $2,780.98	Professional		$1,070.78	$1,645.72	$2,780.98