Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,472.57 / $5,549.00	Facility		$1,017.00	$2,472.57	$5,549.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $603.85 / $1,236.29 / $1,278.28	Facility	52	$603.85	$1,236.29	$1,278.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.39 / $1,211.20 / $2,505.32	Professional		$1,062.39	$1,211.20	$2,505.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,037.47 / $11,765.09 / $25,661.16	Facility		$5,037.47	$11,765.09	$25,661.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,533.46 / $1,828.39 / $2,210.57	Professional		$1,533.46	$1,828.39	$2,210.57
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 $1,224.53 / $1,752.36 / $2,601.16	Professional		$1,224.53	$1,752.36	$2,601.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.68 / $2,094.62 / $6,830.55	Professional		$1,284.68	$2,094.62	$6,830.55
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 $1,472.38 / $1,604.34 / $1,779.74	Professional		$1,472.38	$1,604.34	$1,779.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,053.55	Professional		$32.34	$32.34	$2,053.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,995.00	Facility		$1,690.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,228.35 / $1,790.03 / $2,912.08	Professional		$1,228.35	$1,790.03	$2,912.08