Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.25 / $2,784.00 / $7,123.00	Facility		$1,153.25	$2,784.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,005.86 / $1,153.57 / $2,256.27	Professional		$1,005.86	$1,153.57	$2,256.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,846.70 / $13,258.62 / $27,030.53	Facility		$8,846.70	$13,258.62	$27,030.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,413.58 / $1,935.65 / $2,244.31	Professional		$1,413.58	$1,935.65	$2,244.31
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 $1,176.20 / $1,678.76 / $2,426.01	Professional		$1,176.20	$1,678.76	$2,426.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.49 / $1,976.70 / $4,677.89	Professional		$1,242.49	$1,976.70	$4,677.89
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 $1,338.47 / $1,468.40 / $1,616.59	Professional		$1,338.47	$1,468.40	$1,616.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,865.30	Professional		$32.34	$32.34	$1,865.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,217.86 / $1,627.02 / $2,681.02	Professional		$1,217.86	$1,627.02	$2,681.02