Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.58 / $2,989.00 / $7,723.00	Facility		$1,148.58	$2,989.00	$7,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.58 / $1,173.05 / $2,198.89	Professional		$1,148.58	$1,173.05	$2,198.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,400.52 / $17,969.04 / $35,983.00	Facility		$8,400.52	$17,969.04	$35,983.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,385.85 / $2,228.83 / $2,403.15	Professional		$1,385.85	$2,228.83	$2,403.15
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 $1,202.38 / $1,622.13 / $2,356.11	Professional		$1,202.38	$1,622.13	$2,356.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,217.17 / $1,914.62 / $5,416.67	Professional		$1,217.17	$1,914.62	$5,416.67
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 $1,346.89 / $1,438.48 / $1,562.05	Professional		$1,346.89	$1,438.48	$1,562.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,802.37	Professional		$32.34	$32.34	$1,802.37
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 $1,214.84 / $1,718.74 / $2,571.21	Professional		$1,214.84	$1,718.74	$2,571.21