Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,351.28 / $5,430.00	Facility		$1,017.00	$3,351.28	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,492.71 / $1,815.54 / $3,351.28	Professional		$1,492.71	$1,815.54	$3,351.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $19,464.15 / $42,453.77	Facility		$2,202.15	$19,464.15	$42,453.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,167.71 / $2,997.46 / $3,652.63	Professional		$2,167.71	$2,997.46	$3,652.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,631.14 / $1,820.98	Facility		$875.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,824.33 / $2,779.31 / $3,840.27	Professional		$1,824.33	$2,779.31	$3,840.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,056.23 / $3,132.09 / $7,457.65	Professional		$2,056.23	$3,132.09	$7,457.65
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 $2,063.06 / $2,262.07 / $2,515.86	Professional		$2,063.06	$2,262.07	$2,515.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,844.86	Professional		$32.34	$32.34	$2,844.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,751.00 / $6,514.00	Facility		$1,499.00	$3,751.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,680.95 / $2,533.98 / $4,052.34	Professional		$1,680.95	$2,533.98	$4,052.34