Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.30 / $2,784.00 / $7,123.00	Facility		$1,125.30	$2,784.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.67 / $1,125.30 / $1,959.94	Professional		$1,000.67	$1,125.30	$1,959.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,745.76 / $11,415.46 / $26,555.78	Facility		$4,745.76	$11,415.46	$26,555.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,264.20 / $1,884.45 / $2,082.55	Professional		$1,264.20	$1,884.45	$2,082.55
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 $1,087.77 / $1,469.96 / $2,095.67	Professional		$1,087.77	$1,469.96	$2,095.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,077.97 / $1,703.86 / $5,804.55	Professional		$1,077.97	$1,703.86	$5,804.55
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 $1,193.85 / $1,273.96 / $1,384.38	Professional		$1,193.85	$1,273.96	$1,384.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,448.28	Professional		$32.34	$32.34	$1,448.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,074.75 / $1,470.40 / $2,276.90	Professional		$1,074.75	$1,470.40	$2,276.90