Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,183.76 / $5,389.00	Facility		$1,017.00	$2,183.76	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.41 / $1,184.36 / $2,183.76	Professional		$1,159.41	$1,184.36	$2,183.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,624.08 / $13,966.69 / $32,490.69	Facility		$6,624.08	$13,966.69	$32,490.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,398.69 / $1,398.69 / $2,249.50	Professional		$1,398.69	$1,398.69	$2,249.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,201.22 / $1,637.17 / $2,387.63	Professional		$1,201.22	$1,637.17	$2,387.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,228.24 / $1,940.35 / $4,739.35	Professional		$1,228.24	$1,940.35	$4,739.35
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 $1,358.86 / $1,451.55 / $1,576.54	Professional		$1,358.86	$1,451.55	$1,576.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,819.08	Professional		$32.34	$32.34	$1,819.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,995.00	Facility		$1,690.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,236.42 / $1,770.03 / $2,595.02	Professional		$1,236.42	$1,770.03	$2,595.02