Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,916.52 / $7,125.00	Facility		$1,129.00	$2,916.52	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.57 / $1,248.29 / $2,293.73	Professional		$1,087.57	$1,248.29	$2,293.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,535.22 / $12,562.27 / $29,223.59	Facility		$6,535.22	$12,562.27	$29,223.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,387.18 / $2,090.40 / $2,424.65	Professional		$1,387.18	$2,090.40	$2,424.65
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 $1,293.83 / $1,812.97 / $2,621.46	Professional		$1,293.83	$1,812.97	$2,621.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.33 / $2,135.53 / $5,407.46	Professional		$1,342.33	$2,135.53	$5,407.46
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 $1,445.41 / $1,586.39 / $1,745.82	Professional		$1,445.41	$1,586.39	$1,745.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,014.41	Professional		$32.34	$32.34	$2,014.41
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 $1,308.25 / $1,847.94 / $3,187.99	Professional		$1,308.25	$1,847.94	$3,187.99