Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,224.38 / $5,549.00	Facility		$1,159.00	$2,224.38	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.86 / $1,169.94 / $2,224.38	Professional		$1,017.86	$1,169.94	$2,224.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,154.24 / $15,303.20 / $30,644.65	Facility		$7,154.24	$15,303.20	$30,644.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,335.51 / $1,954.01 / $2,334.32	Professional		$1,335.51	$1,954.01	$2,334.32
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 $1,199.09 / $1,748.25 / $2,456.29	Professional		$1,199.09	$1,748.25	$2,456.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,292.32 / $1,997.23 / $5,055.27	Professional		$1,292.32	$1,997.23	$5,055.27
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 $1,408.41 / $1,527.29 / $1,683.50	Professional		$1,408.41	$1,527.29	$1,683.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,942.50	Professional		$32.34	$32.34	$1,942.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,211.91 / $1,631.18 / $2,993.02	Professional		$1,211.91	$1,631.18	$2,993.02