Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.78 / $1,952.30 / $5,549.00	Facility		$1,039.78	$1,952.30	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.78 / $1,061.28 / $1,952.30	Professional		$1,039.78	$1,061.28	$1,952.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,604.80 / $16,266.96 / $32,574.58	Facility		$7,604.80	$16,266.96	$32,574.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,173.40 / $2,173.40 / $2,173.40	Professional		$2,173.40	$2,173.40	$2,173.40
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 $1,060.41 / $1,469.94 / $2,108.71	Professional		$1,060.41	$1,469.94	$2,108.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,100.81 / $1,711.27 / $4,255.82	Professional		$1,100.81	$1,711.27	$4,255.82
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 $1,219.36 / $1,300.96 / $1,413.28	Professional		$1,219.36	$1,300.96	$1,413.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,630.71	Professional		$32.34	$32.34	$1,630.71
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 $1,096.86 / $1,514.66 / $2,321.23	Professional		$1,096.86	$1,514.66	$2,321.23