Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,234.67 / $3,274.00 / $8,806.00	Facility		$1,234.67	$3,274.00	$8,806.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.81 / $1,234.67 / $2,319.14	Professional		$1,051.81	$1,234.67	$2,319.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $11,469.87 / $24,241.48	Facility		$7,091.59	$11,469.87	$24,241.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.45 / $374.92 / $427.00	Professional		$324.45	$374.92	$427.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $1,383.00 / $1,434.00	Facility		$1,383.00	$1,383.00	$1,434.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.28 / $1,622.63 / $2,355.88	Professional		$1,111.28	$1,622.63	$2,355.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,203.54 / $1,926.59 / $4,829.91	Professional		$1,203.54	$1,926.59	$4,829.91
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 $1,398.42 / $1,507.44 / $1,669.71	Professional		$1,398.42	$1,507.44	$1,669.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,926.59	Professional		$32.34	$32.34	$1,926.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,978.00 / $12,241.00	Facility		$2,100.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.99 / $1,538.59 / $2,658.96	Professional		$1,098.99	$1,538.59	$2,658.96