Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,276.21 / $5,549.00	Facility		$1,159.00	$2,276.21	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,221.65 / $1,237.67 / $2,276.21	Professional		$1,221.65	$1,237.67	$2,276.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,989.57 / $19,229.04 / $38,506.15	Facility		$8,989.57	$19,229.04	$38,506.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,439.40 / $2,314.96 / $2,495.71	Professional		$1,439.40	$2,314.96	$2,495.71
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 $1,228.31 / $1,709.45 / $2,445.62	Professional		$1,228.31	$1,709.45	$2,445.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,264.05 / $1,965.03 / $4,924.08	Professional		$1,264.05	$1,965.03	$4,924.08
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 $1,397.60 / $1,493.88 / $1,622.43	Professional		$1,397.60	$1,493.88	$1,622.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,872.03	Professional		$32.34	$32.34	$1,872.03
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 $1,253.39 / $1,735.69 / $2,807.78	Professional		$1,253.39	$1,735.69	$2,807.78