Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,824.00 / $7,407.00	Facility		$1,207.00	$2,824.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.19 / $1,342.40 / $2,592.16	Professional		$1,171.19	$1,342.40	$2,592.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.91 / $56,666.25 / $123,596.25	Facility		$8,139.91	$56,666.25	$123,596.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,625.00 / $8,625.00 / $8,625.00	Professional		$8,625.00	$8,625.00	$8,625.00
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 $1,301.99 / $1,912.24 / $2,863.14	Professional		$1,301.99	$1,912.24	$2,863.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,487.30 / $2,213.19 / $9,161.79	Professional		$1,487.30	$2,213.19	$9,161.79
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 $1,636.54 / $1,692.44 / $1,841.42	Professional		$1,636.54	$1,692.44	$1,841.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,082.23	Professional		$32.34	$32.34	$2,082.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,619.00 / $12,241.00	Facility		$2,100.00	$5,619.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,290.80 / $1,705.45 / $3,097.92	Professional		$1,290.80	$1,705.45	$3,097.92