Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,071.56 / $5,549.00	Facility		$1,159.00	$3,071.56	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,344.99 / $1,723.55 / $3,071.56	Professional		$1,344.99	$1,723.55	$3,071.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,271.98 / $21,972.16 / $43,999.25	Facility		$10,271.98	$21,972.16	$43,999.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,872.56 / $2,806.06 / $4,694.18	Professional		$1,872.56	$2,806.06	$4,694.18
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 $1,668.08 / $2,521.80 / $3,373.73	Professional		$1,668.08	$2,521.80	$3,373.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,776.74 / $2,802.00 / $6,406.69	Professional		$1,776.74	$2,802.00	$6,406.69
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 $1,727.00 / $2,099.79 / $2,428.40	Professional		$1,727.00	$2,099.79	$2,428.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,802.00	Professional		$32.34	$32.34	$2,802.00
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 $1,675.19 / $2,465.38 / $4,188.93	Professional		$1,675.19	$2,465.38	$4,188.93