Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,221.00 / $7,125.00	Facility		$1,017.00	$3,221.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,119.76 / $2,401.75 / $3,962.01	Professional		$2,119.76	$2,401.75	$3,962.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,037.47 / $24,044.88 / $52,444.93	Facility		$5,037.47	$24,044.88	$52,444.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,110.29 / $3,708.49 / $4,468.83	Professional		$3,110.29	$3,708.49	$4,468.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,294.02 / $3,376.29 / $5,158.25	Professional		$2,294.02	$3,376.29	$5,158.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,270.74 / $2,084.01 / $9,757.49	Professional		$1,270.74	$2,084.01	$9,757.49
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 $1,494.99 / $1,594.97 / $1,747.88	Professional		$1,494.99	$1,594.97	$1,747.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
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 $2,469.33 / $3,412.60 / $5,993.35	Professional		$2,469.33	$3,412.60	$5,993.35