Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,193.82 / $5,549.00	Facility		$1,159.00	$2,193.82	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.00 / $1,229.45 / $2,223.42	Professional		$1,161.00	$1,229.45	$2,223.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,498.02 / $18,177.59 / $36,400.64	Facility		$8,498.02	$18,177.59	$36,400.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,401.31 / $2,253.71 / $2,430.03	Professional		$1,401.31	$2,253.71	$2,430.03
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 $1,186.55 / $1,647.70 / $2,359.25	Professional		$1,186.55	$1,647.70	$2,359.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.79 / $1,913.32 / $5,164.93	Professional		$1,230.79	$1,913.32	$5,164.93
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 $1,361.84 / $1,454.57 / $1,579.49	Professional		$1,361.84	$1,454.57	$1,579.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,822.49	Professional		$32.34	$32.34	$1,822.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,238.79 / $1,676.35 / $3,064.69	Professional		$1,238.79	$1,676.35	$3,064.69