Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,464.96 / $5,549.00	Facility		$1,159.00	$2,464.96	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,226.41 / $1,327.90 / $2,464.96	Professional		$1,226.41	$1,327.90	$2,464.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,712.03 / $20,774.40 / $41,600.73	Facility		$9,712.03	$20,774.40	$41,600.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,672.40 / $2,689.69 / $2,801.34	Professional		$1,672.40	$2,689.69	$2,801.34
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 $1,261.30 / $1,957.55 / $2,615.41	Professional		$1,261.30	$1,957.55	$2,615.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,418.86 / $2,205.67 / $5,273.60	Professional		$1,418.86	$2,205.67	$5,273.60
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 $1,461.64 / $1,676.83 / $1,885.04	Professional		$1,461.64	$1,676.83	$1,885.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,175.05	Professional		$32.34	$32.34	$2,175.05
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 $1,301.04 / $1,935.14 / $3,391.37	Professional		$1,301.04	$1,935.14	$3,391.37