Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,133.59 / $2,133.63 / $5,549.00	Facility		$1,133.59	$2,133.63	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.59 / $1,164.83 / $2,133.63	Professional		$1,133.59	$1,164.83	$2,133.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,290.94 / $17,734.64 / $35,513.61	Facility		$8,290.94	$17,734.64	$35,513.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,365.86 / $2,196.69 / $2,368.77	Professional		$1,365.86	$2,196.69	$2,368.77
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 $1,210.67 / $1,636.04 / $2,334.29	Professional		$1,210.67	$1,636.04	$2,334.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.77 / $1,894.80 / $6,505.07	Professional		$1,199.77	$1,894.80	$6,505.07
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 $1,328.31 / $1,417.91 / $1,539.53	Professional		$1,328.31	$1,417.91	$1,539.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,776.38	Professional		$32.34	$32.34	$1,776.38
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 $1,207.72 / $1,694.06 / $2,534.41	Professional		$1,207.72	$1,694.06	$2,534.41