Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,933.00 / $5,580.00	Facility		$1,207.00	$2,933.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.84 / $1,659.38 / $2,234.10	Professional		$1,227.84	$1,659.38	$2,234.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,188.88 / $13,343.40 / $29,103.65	Facility		$5,188.88	$13,343.40	$29,103.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,420.84 / $2,013.72 / $2,197.56	Professional		$1,420.84	$2,013.72	$2,197.56
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 $1,210.92 / $1,623.66 / $2,410.12	Professional		$1,210.92	$1,623.66	$2,410.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.27 / $1,886.88 / $5,299.50	Professional		$1,121.27	$1,886.88	$5,299.50
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 $1,503.76 / $1,512.16 / $1,649.04	Professional		$1,503.76	$1,512.16	$1,649.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,864.68	Professional		$32.34	$32.34	$1,864.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,132.17 / $1,528.94 / $2,695.63	Professional		$1,132.17	$1,528.94	$2,695.63