Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,920.20 / $5,549.00	Facility		$1,129.00	$1,920.20	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.81 / $1,229.64 / $2,022.46	Professional		$1,027.81	$1,229.64	$2,022.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,442.26 / $11,641.20 / $23,311.50	Facility		$5,442.26	$11,641.20	$23,311.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,225.66 / $1,466.77 / $1,833.51	Professional		$1,225.66	$1,466.77	$1,833.51
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 $1,083.28 / $1,533.84 / $2,523.92	Professional		$1,083.28	$1,533.84	$2,523.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.70 / $1,644.27 / $4,128.82	Professional		$1,047.70	$1,644.27	$4,128.82
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 $1,080.07 / $1,280.24 / $1,436.72	Professional		$1,080.07	$1,280.24	$1,436.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,624.60	Professional		$32.34	$32.34	$1,624.60
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 $1,129.66 / $1,577.25 / $2,312.29	Professional		$1,129.66	$1,577.25	$2,312.29