Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.34 / $1,890.17 / $5,549.00	Facility		$1,122.34	$1,890.17	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.64 / $1,135.11 / $2,045.99	Professional		$1,117.64	$1,135.11	$2,045.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,208.66 / $17,558.64 / $35,161.17	Facility		$8,208.66	$17,558.64	$35,161.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,275.27 / $2,275.27 / $2,275.27	Professional		$2,275.27	$2,275.27	$2,275.27
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 $1,060.98 / $1,558.85 / $2,213.77	Professional		$1,060.98	$1,558.85	$2,213.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,152.42 / $1,791.48 / $4,355.43	Professional		$1,152.42	$1,791.48	$4,355.43
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 $1,254.54 / $1,361.95 / $1,501.11	Professional		$1,254.54	$1,361.95	$1,501.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,732.05	Professional		$32.34	$32.34	$1,732.05
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 $1,109.03 / $1,534.09 / $2,408.01	Professional		$1,109.03	$1,534.09	$2,408.01