Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.78 / $2,084.35 / $5,549.00	Facility		$1,108.78	$2,084.35	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,108.78 / $1,131.58 / $2,119.30	Professional		$1,108.78	$1,131.58	$2,119.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,109.44 / $17,346.40 / $34,736.16	Facility		$8,109.44	$17,346.40	$34,736.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,335.69 / $2,148.16 / $2,315.92	Professional		$1,335.69	$2,148.16	$2,315.92
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 $1,183.66 / $1,563.42 / $2,280.44	Professional		$1,183.66	$1,563.42	$2,280.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.00 / $1,852.94 / $5,047.22	Professional		$1,173.00	$1,852.94	$5,047.22
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 $1,298.52 / $1,386.27 / $1,505.52	Professional		$1,298.52	$1,386.27	$1,505.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,737.14	Professional		$32.34	$32.34	$1,737.14
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 $1,179.52 / $1,678.99 / $2,726.18	Professional		$1,179.52	$1,678.99	$2,726.18