Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,535.34 / $5,549.00	Facility		$1,159.00	$3,535.34	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,661.67 / $1,783.28 / $3,535.34	Professional		$1,661.67	$1,783.28	$3,535.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.91 / $18,211.79 / $42,366.07	Facility		$8,139.91	$18,211.79	$42,366.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,229.21 / $2,987.13 / $3,532.87	Professional		$2,229.21	$2,987.13	$3,532.87
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 $1,971.49 / $2,686.74 / $3,964.48	Professional		$1,971.49	$2,686.74	$3,964.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.49 / $3,129.56 / $7,917.64	Professional		$1,995.49	$3,129.56	$7,917.64
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 $2,213.81 / $2,358.30 / $2,587.23	Professional		$2,213.81	$2,358.30	$2,587.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,985.27	Professional		$32.34	$32.34	$2,985.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,939.64 / $2,772.91 / $4,363.24	Professional		$1,939.64	$2,772.91	$4,363.24