Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,471.23 / $5,549.00	Facility		$1,159.00	$2,471.23	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,197.36 / $1,357.20 / $2,471.23	Professional		$1,197.36	$1,357.20	$2,471.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,701.78 / $16,474.40 / $32,989.98	Facility		$7,701.78	$16,474.40	$32,989.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,620.13 / $2,064.09 / $2,420.19	Professional		$1,620.13	$2,064.09	$2,420.19
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 $1,421.26 / $1,952.65 / $2,741.17	Professional		$1,421.26	$1,952.65	$2,741.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.26 / $2,212.98 / $5,226.51	Professional		$1,429.26	$2,212.98	$5,226.51
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 $1,509.33 / $1,689.13 / $1,880.32	Professional		$1,509.33	$1,689.13	$1,880.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,169.60	Professional		$32.34	$32.34	$2,169.60
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 $1,293.24 / $1,853.90 / $2,964.32	Professional		$1,293.24	$1,853.90	$2,964.32