Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,659.76 / $5,549.00	Facility		$1,159.00	$2,659.76	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.30 / $1,494.65 / $2,659.76	Professional		$1,167.30	$1,494.65	$2,659.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,907.78 / $19,054.08 / $38,155.79	Facility		$8,907.78	$19,054.08	$38,155.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,109.33 / $2,437.37 / $4,077.41	Professional		$2,109.33	$2,437.37	$4,077.41
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 $1,432.53 / $2,190.46 / $2,926.53	Professional		$1,432.53	$2,190.46	$2,926.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,544.43 / $2,433.84 / $7,019.87	Professional		$1,544.43	$2,433.84	$7,019.87
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 $1,512.38 / $1,825.24 / $2,109.33	Professional		$1,512.38	$1,825.24	$2,109.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,433.84	Professional		$32.34	$32.34	$2,433.84
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 $1,414.35 / $2,138.89 / $3,228.74	Professional		$1,414.35	$2,138.89	$3,228.74