Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,316.08 / $5,549.00	Facility		$1,159.00	$2,316.08	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.07 / $1,300.53 / $2,316.08	Professional		$1,132.07	$1,300.53	$2,316.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,955.95 / $17,018.08 / $34,078.69	Facility		$7,955.95	$17,018.08	$34,078.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,541.80 / $2,121.32 / $2,383.25	Professional		$1,541.80	$2,121.32	$2,383.25
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 $1,334.43 / $1,858.24 / $2,605.87	Professional		$1,334.43	$1,858.24	$2,605.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,357.86 / $2,133.53 / $5,686.50	Professional		$1,357.86	$2,133.53	$5,686.50
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 $1,425.16 / $1,604.75 / $1,789.41	Professional		$1,425.16	$1,604.75	$1,789.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,064.71	Professional		$32.34	$32.34	$2,064.71
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 $1,226.03 / $1,765.45 / $3,377.39	Professional		$1,226.03	$1,765.45	$3,377.39