Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,118.00 / $5,393.00	Facility		$1,061.00	$2,118.00	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.82 / $1,319.04 / $4,614.84	Professional		$1,059.82	$1,319.04	$4,614.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,497.57 / $16,037.60 / $32,115.29	Facility		$7,497.57	$16,037.60	$32,115.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,168.67 / $2,144.46 / $2,171.98	Professional		$1,168.67	$2,144.46	$2,171.98
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 $1,046.06 / $1,433.34 / $2,606.17	Professional		$1,046.06	$1,433.34	$2,606.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $998.46 / $1,611.50 / $4,746.39	Professional		$998.46	$1,611.50	$4,746.39
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 $1,163.16 / $1,225.11 / $1,323.19	Professional		$1,163.16	$1,225.11	$1,323.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $886.11 / $910.70 / $1,496.22	Professional		$886.11	$910.70	$1,496.22
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 $1,020.25 / $1,466.14 / $2,649.72	Professional		$1,020.25	$1,466.14	$2,649.72