Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,235.00 / $5,405.00	Facility		$1,129.00	$2,235.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.88 / $1,476.24 / $2,140.36	Professional		$1,203.88	$1,476.24	$2,140.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,188.88 / $12,767.80 / $27,848.20	Facility		$5,188.88	$12,767.80	$27,848.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,374.03 / $1,947.37 / $2,130.90	Professional		$1,374.03	$1,947.37	$2,130.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.29 / $1,579.08 / $2,330.71	Professional		$1,044.29	$1,579.08	$2,330.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.74 / $1,804.67 / $5,050.88	Professional		$1,087.74	$1,804.67	$5,050.88
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 $1,452.18 / $1,466.30 / $1,594.70	Professional		$1,452.18	$1,466.30	$1,594.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,803.23	Professional		$32.34	$32.34	$1,803.23
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 $1,023.05 / $1,372.11 / $2,462.15	Professional		$1,023.05	$1,372.11	$2,462.15