Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,406.94 / $5,549.00	Facility		$1,159.00	$2,406.94	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.30 / $1,374.87 / $2,406.94	Professional		$1,052.30	$1,374.87	$2,406.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,193.89 / $17,527.04 / $35,097.89	Facility		$8,193.89	$17,527.04	$35,097.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,728.82 / $2,240.09 / $2,468.13	Professional		$1,728.82	$2,240.09	$2,468.13
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 $1,295.00 / $2,013.17 / $2,693.01	Professional		$1,295.00	$2,013.17	$2,693.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,419.64 / $2,236.86 / $6,104.63	Professional		$1,419.64	$2,236.86	$6,104.63
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 $1,390.86 / $1,677.75 / $1,938.61	Professional		$1,390.86	$1,677.75	$1,938.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,236.86	Professional		$32.34	$32.34	$2,236.86
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 $1,255.47 / $1,760.91 / $2,935.10	Professional		$1,255.47	$1,760.91	$2,935.10