Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,307.28 / $5,549.00	Facility		$1,159.00	$2,307.28	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.20 / $1,308.32 / $2,307.28	Professional		$1,008.20	$1,308.32	$2,307.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,797.30 / $16,678.72 / $33,399.12	Facility		$7,797.30	$16,678.72	$33,399.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,647.69 / $2,134.96 / $2,355.71	Professional		$1,647.69	$2,134.96	$2,355.71
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 $979.66 / $1,847.70 / $2,529.83	Professional		$979.66	$1,847.70	$2,529.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.59 / $2,032.47 / $4,999.46	Professional		$1,242.59	$2,032.47	$4,999.46
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 $1,346.15 / $1,601.34 / $1,847.63	Professional		$1,346.15	$1,601.34	$1,847.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,131.88	Professional		$32.34	$32.34	$2,131.88
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 $1,048.48 / $1,580.92 / $3,154.86	Professional		$1,048.48	$1,580.92	$3,154.86