Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,181.15 / $2,758.00 / $5,580.00	Facility		$1,181.15	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.48 / $1,181.15 / $2,220.80	Professional		$1,049.48	$1,181.15	$2,220.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,494.10 / $11,982.06 / $27,873.85	Facility		$4,494.10	$11,982.06	$27,873.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,179.82 / $2,179.82 / $2,179.82	Professional		$2,179.82	$2,179.82	$2,179.82
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 $1,138.57 / $1,511.97 / $2,195.58	Professional		$1,138.57	$1,511.97	$2,195.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,128.31 / $1,783.60 / $5,719.88	Professional		$1,128.31	$1,783.60	$5,719.88
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 $1,251.02 / $1,333.46 / $1,449.18	Professional		$1,251.02	$1,333.46	$1,449.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,672.13	Professional		$32.34	$32.34	$1,672.13
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.08 / $1,509.09 / $2,779.19	Professional		$1,113.08	$1,509.09	$2,779.19