Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,288.40 / $5,549.00	Facility		$1,159.00	$2,288.40	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.89 / $1,239.86 / $2,288.40	Professional		$1,215.89	$1,239.86	$2,288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,892.82 / $19,022.08 / $38,091.71	Facility		$8,892.82	$19,022.08	$38,091.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,539.78 / $2,539.78 / $2,539.78	Professional		$2,539.78	$2,539.78	$2,539.78
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 $1,182.64 / $1,714.71 / $2,466.07	Professional		$1,182.64	$1,714.71	$2,466.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,286.38 / $1,996.45 / $4,962.10	Professional		$1,286.38	$1,996.45	$4,962.10
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 $1,422.95 / $1,520.27 / $1,650.48	Professional		$1,422.95	$1,520.27	$1,650.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,904.40	Professional		$32.34	$32.34	$1,904.40
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 $1,278.32 / $1,745.58 / $2,717.87	Professional		$1,278.32	$1,745.58	$2,717.87