Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,614.59 / $5,549.00	Facility		$1,159.00	$2,614.59	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,285.49 / $1,443.24 / $2,614.59	Professional		$1,285.49	$1,443.24	$2,614.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,828.94 / $18,885.43 / $37,818.08	Facility		$8,828.94	$18,885.43	$37,818.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,664.16 / $2,289.67 / $2,617.76	Professional		$1,664.16	$2,289.67	$2,617.76
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 $1,505.04 / $2,033.84 / $2,930.71	Professional		$1,505.04	$2,033.84	$2,930.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,491.48 / $2,336.28 / $6,548.53	Professional		$1,491.48	$2,336.28	$6,548.53
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 $1,645.68 / $1,762.66 / $1,931.42	Professional		$1,645.68	$1,762.66	$1,931.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,228.57	Professional		$32.34	$32.34	$2,228.57
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,392.13 / $1,907.36 / $3,139.31	Professional		$1,392.13	$1,907.36	$3,139.31