Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,974.87 / $5,549.00	Facility		$1,159.00	$2,974.87	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.38 / $1,681.21 / $3,185.78	Professional		$1,312.38	$1,681.21	$3,185.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,019.64 / $21,432.40 / $42,918.38	Facility		$10,019.64	$21,432.40	$42,918.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,370.38 / $2,739.02 / $4,582.04	Professional		$2,370.38	$2,739.02	$4,582.04
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 $1,580.92 / $2,461.55 / $3,295.33	Professional		$1,580.92	$2,461.55	$3,295.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,734.83 / $2,699.82 / $9,608.23	Professional		$1,734.83	$2,699.82	$9,608.23
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 $1,691.72 / $2,050.26 / $2,370.38	Professional		$1,691.72	$2,050.26	$2,370.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,735.06	Professional		$32.34	$32.34	$2,735.06
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 $1,632.29 / $2,249.30 / $3,617.63	Professional		$1,632.29	$2,249.30	$3,617.63