Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,120.48 / $5,393.00	Facility		$1,061.00	$2,120.48	$5,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.47 / $1,177.59 / $2,225.96	Professional		$1,026.47	$1,177.59	$2,225.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,535.22 / $11,864.89 / $27,601.29	Facility		$6,535.22	$11,864.89	$27,601.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.88 / $1,937.76 / $2,286.81	Professional		$1,440.88	$1,937.76	$2,286.81
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 $1,178.33 / $1,711.17 / $2,458.03	Professional		$1,178.33	$1,711.17	$2,458.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,266.02 / $1,956.58 / $4,921.29	Professional		$1,266.02	$1,956.58	$4,921.29
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 $1,370.98 / $1,496.21 / $1,647.80	Professional		$1,370.98	$1,496.21	$1,647.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,901.31	Professional		$32.34	$32.34	$1,901.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $4,116.68 / $6,514.00	Facility		$1,165.00	$4,116.68	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.83 / $1,667.41 / $2,633.57	Professional		$1,205.83	$1,667.41	$2,633.57