Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,699.07 / $5,549.00	Facility		$1,159.00	$2,699.07	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,183.22 / $1,515.61 / $2,699.07	Professional		$1,183.22	$1,515.61	$2,699.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,032.66 / $19,321.20 / $38,690.69	Facility		$9,032.66	$19,321.20	$38,690.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,136.73 / $2,469.04 / $4,130.39	Professional		$2,136.73	$2,469.04	$4,130.39
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 $1,487.11 / $2,218.92 / $2,963.87	Professional		$1,487.11	$2,218.92	$2,963.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,564.07 / $2,465.48 / $8,009.27	Professional		$1,564.07	$2,465.48	$8,009.27
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 $1,526.77 / $1,848.44 / $2,136.75	Professional		$1,526.77	$1,848.44	$2,136.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,465.48	Professional		$32.34	$32.34	$2,465.48
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 $1,474.32 / $2,166.46 / $3,277.11	Professional		$1,474.32	$2,166.46	$3,277.11