Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,633.75 / $5,430.00	Facility		$1,159.00	$2,633.75	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,274.58 / $1,487.74 / $2,633.75	Professional		$1,274.58	$1,487.74	$2,633.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,480.96 / $16,307.28 / $32,655.32	Facility		$7,480.96	$16,307.28	$32,655.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,712.87 / $2,025.17 / $2,561.19	Professional		$1,712.87	$2,025.17	$2,561.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,568.87	Facility		$400.00	$785.00	$1,568.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,352.46 / $2,014.18 / $2,996.02	Professional		$1,352.46	$2,014.18	$2,996.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,515.80 / $2,342.60 / $5,849.47	Professional		$1,515.80	$2,342.60	$5,849.47
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 $1,563.82 / $1,791.40 / $2,014.18	Professional		$1,563.82	$1,791.40	$2,014.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,277.57	Professional		$32.34	$32.34	$2,277.57
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,357.95 / $1,857.77 / $3,149.66	Professional		$1,357.95	$1,857.77	$3,149.66