Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.09 / $2,085.01 / $5,549.00	Facility		$1,109.09	$2,085.01	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.09 / $1,137.50 / $2,085.01	Professional		$1,109.09	$1,137.50	$2,085.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,111.76 / $17,351.36 / $34,746.08	Facility		$8,111.76	$17,351.36	$34,746.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,336.44 / $2,149.38 / $2,317.26	Professional		$1,336.44	$2,149.38	$2,317.26
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 $1,184.34 / $1,564.31 / $2,281.16	Professional		$1,184.34	$1,564.31	$2,281.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.68 / $1,854.00 / $4,532.89	Professional		$1,173.68	$1,854.00	$4,532.89
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 $1,299.34 / $1,387.07 / $1,506.38	Professional		$1,299.34	$1,387.07	$1,506.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,738.13	Professional		$32.34	$32.34	$1,738.13
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 $1,171.73 / $1,586.29 / $2,477.50	Professional		$1,171.73	$1,586.29	$2,477.50