Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.33 / $2,171.64 / $5,549.00	Facility		$1,153.33	$2,171.64	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.33 / $1,177.30 / $2,171.64	Professional		$1,153.33	$1,177.30	$2,171.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,435.23 / $18,043.28 / $36,131.66	Facility		$8,435.23	$18,043.28	$36,131.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,412.63 / $2,412.63 / $2,412.63	Professional		$2,412.63	$2,412.63	$2,412.63
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 $1,233.08 / $1,639.14 / $2,374.89	Professional		$1,233.08	$1,639.14	$2,374.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.98 / $1,930.37 / $4,714.00	Professional		$1,221.98	$1,930.37	$4,714.00
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 $1,351.74 / $1,444.16 / $1,568.42	Professional		$1,351.74	$1,444.16	$1,568.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,809.72	Professional		$32.34	$32.34	$1,809.72
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 $1,229.44 / $1,707.18 / $2,580.60	Professional		$1,229.44	$1,707.18	$2,580.60