Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,488.17 / $5,549.00	Facility		$1,159.00	$2,488.17	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,093.21 / $1,399.89 / $2,488.17	Professional		$1,093.21	$1,399.89	$2,488.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,343.04 / $17,846.08 / $35,736.76	Facility		$8,343.04	$17,846.08	$35,736.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,496.57 / $2,029.28 / $3,372.37	Professional		$1,496.57	$2,029.28	$3,372.37
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 $1,214.24 / $2,050.25 / $2,740.66	Professional		$1,214.24	$2,050.25	$2,740.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,405.29 / $2,168.21 / $5,997.91	Professional		$1,405.29	$2,168.21	$5,997.91
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 $1,414.65 / $1,708.29 / $1,974.32	Professional		$1,414.65	$1,708.29	$1,974.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,278.07	Professional		$32.34	$32.34	$2,278.07
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 $1,323.04 / $1,993.72 / $3,393.29	Professional		$1,323.04	$1,993.72	$3,393.29