Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,100.16 / $5,549.00	Facility		$1,129.00	$2,100.16	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.60 / $1,166.25 / $2,278.90	Professional		$1,016.60	$1,166.25	$2,278.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,143.01 / $11,750.50 / $27,335.19	Facility		$4,143.01	$11,750.50	$27,335.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,426.32 / $1,918.18 / $2,264.01	Professional		$1,426.32	$1,918.18	$2,264.01
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 $1,199.85 / $1,693.89 / $2,460.17	Professional		$1,199.85	$1,693.89	$2,460.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,253.40 / $1,942.81 / $5,023.18	Professional		$1,253.40	$1,942.81	$5,023.18
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 $1,357.03 / $1,481.29 / $1,631.15	Professional		$1,357.03	$1,481.29	$1,631.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,882.10	Professional		$32.34	$32.34	$1,882.10
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 $1,216.00 / $1,698.43 / $2,588.48	Professional		$1,216.00	$1,698.43	$2,588.48