Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,358.94 / $5,549.00	Facility		$1,159.00	$2,358.94	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,261.69 / $1,284.14 / $2,418.84	Professional		$1,261.69	$1,284.14	$2,418.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,227.77 / $19,738.56 / $39,526.46	Facility		$9,227.77	$19,738.56	$39,526.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,524.46 / $2,451.76 / $2,640.31	Professional		$1,524.46	$2,451.76	$2,640.31
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 $1,259.69 / $1,784.38 / $2,565.00	Professional		$1,259.69	$1,784.38	$2,565.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,337.30 / $2,078.90 / $5,117.85	Professional		$1,337.30	$2,078.90	$5,117.85
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 $1,483.47 / $1,580.45 / $1,718.30	Professional		$1,483.47	$1,580.45	$1,718.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,982.66	Professional		$32.34	$32.34	$1,982.66
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 $1,335.46 / $1,932.68 / $2,805.68	Professional		$1,335.46	$1,932.68	$2,805.68