Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.34 / $2,232.00 / $5,405.00	Facility		$1,125.34	$2,232.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.52 / $1,125.34 / $1,959.36	Professional		$1,000.52	$1,125.34	$1,959.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,094.16 / $11,415.89 / $26,556.78	Facility		$6,094.16	$11,415.89	$26,556.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,263.84 / $1,883.92 / $2,081.92	Professional		$1,263.84	$1,883.92	$2,081.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.44 / $1,482.41 / $2,095.60	Professional		$1,087.44	$1,482.41	$2,095.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,077.65 / $1,703.38 / $4,274.85	Professional		$1,077.65	$1,703.38	$4,274.85
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 $1,194.02 / $1,273.58 / $1,383.99	Professional		$1,194.02	$1,273.58	$1,383.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,596.92	Professional		$32.34	$32.34	$1,596.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.71 / $1,431.53 / $2,698.87	Professional		$1,073.71	$1,431.53	$2,698.87