Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,995.18 / $5,549.00	Facility		$1,129.00	$1,995.18	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.42 / $1,277.22 / $2,042.04	Professional		$1,067.42	$1,277.22	$2,042.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,652.82 / $12,091.60 / $24,213.42	Facility		$5,652.82	$12,091.60	$24,213.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,271.99 / $1,522.22 / $1,771.02	Professional		$1,271.99	$1,522.22	$1,771.02
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 $1,124.26 / $1,554.99 / $2,588.92	Professional		$1,124.26	$1,554.99	$2,588.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.46 / $1,686.40 / $5,185.51	Professional		$1,087.46	$1,686.40	$5,185.51
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 $1,120.33 / $1,328.68 / $1,491.04	Professional		$1,120.33	$1,328.68	$1,491.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,686.02	Professional		$32.34	$32.34	$1,686.02
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 $1,174.01 / $1,639.94 / $2,400.90	Professional		$1,174.01	$1,639.94	$2,400.90