Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,182.77 / $5,549.00	Facility		$1,159.00	$2,182.77	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.06 / $1,183.35 / $2,182.77	Professional		$1,159.06	$1,183.35	$2,182.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,477.15 / $18,132.96 / $36,311.25	Facility		$8,477.15	$18,132.96	$36,311.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,425.23 / $2,425.23 / $2,425.23	Professional		$2,425.23	$2,425.23	$2,425.23
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 $1,206.58 / $1,647.66 / $2,355.57	Professional		$1,206.58	$1,647.66	$2,355.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,228.35 / $1,918.75 / $5,432.97	Professional		$1,228.35	$1,918.75	$5,432.97
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 $1,358.94 / $1,451.70 / $1,576.51	Professional		$1,358.94	$1,451.70	$1,576.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,819.05	Professional		$32.34	$32.34	$1,819.05
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 $1,225.66 / $1,726.59 / $2,593.85	Professional		$1,225.66	$1,726.59	$2,593.85