Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,441.08 / $5,430.00	Facility		$1,017.00	$3,441.08	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,533.14 / $1,865.83 / $3,441.08	Professional		$1,533.14	$1,865.83	$3,441.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,386.95 / $24,357.12 / $48,775.13	Facility		$11,386.95	$24,357.12	$48,775.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,227.84 / $3,080.59 / $3,753.37	Professional		$2,227.84	$3,080.59	$3,753.37
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 $1,872.88 / $2,860.87 / $3,941.38	Professional		$1,872.88	$2,860.87	$3,941.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,113.26 / $3,218.49 / $7,441.35	Professional		$2,113.26	$3,218.49	$7,441.35
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 $2,117.90 / $2,324.46 / $2,585.64	Professional		$2,117.90	$2,324.46	$2,585.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,923.76	Professional		$32.34	$32.34	$2,923.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.12 / $2,455.12 / $4,098.03	Professional		$1,737.12	$2,455.12	$4,098.03