Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,344.28 / $5,549.00	Facility		$1,159.00	$2,344.28	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,234.56 / $1,320.01 / $2,344.28	Professional		$1,234.56	$1,320.01	$2,344.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,654.32 / $20,650.96 / $41,353.54	Facility		$9,654.32	$20,650.96	$41,353.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,590.95 / $2,558.69 / $2,664.87	Professional		$1,590.95	$2,558.69	$2,664.87
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 $1,160.20 / $1,862.21 / $2,577.27	Professional		$1,160.20	$1,862.21	$2,577.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,349.74 / $2,098.23 / $5,806.03	Professional		$1,349.74	$2,098.23	$5,806.03
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 $1,391.95 / $1,595.15 / $1,793.25	Professional		$1,391.95	$1,595.15	$1,793.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,069.13	Professional		$32.34	$32.34	$2,069.13
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,286.58 / $1,744.62 / $2,886.72	Professional		$1,286.58	$1,744.62	$2,886.72