Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,746.67 / $5,549.00	Facility		$1,159.00	$2,746.67	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.08 / $1,504.63 / $2,862.70	Professional		$1,264.08	$1,504.63	$2,862.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,967.20 / $19,181.20 / $38,410.35	Facility		$8,967.20	$19,181.20	$38,410.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,095.46 / $2,421.36 / $4,050.63	Professional		$2,095.46	$2,421.36	$4,050.63
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 $1,587.22 / $2,176.07 / $3,062.62	Professional		$1,587.22	$2,176.07	$3,062.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,572.91 / $2,466.67 / $15,528.37	Professional		$1,572.91	$2,466.67	$15,528.37
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 $1,625.95 / $1,858.90 / $2,095.46	Professional		$1,625.95	$1,858.90	$2,095.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,417.85	Professional		$32.34	$32.34	$2,417.85
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 $1,573.91 / $2,253.17 / $3,305.09	Professional		$1,573.91	$2,253.17	$3,305.09