Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,018.00 / $2,740.70 / $5,549.00	Facility		$1,018.00	$2,740.70	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.05 / $1,382.98 / $2,711.45	Professional		$1,188.05	$1,382.98	$2,711.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.91 / $54,202.50 / $118,222.50	Facility		$8,139.91	$54,202.50	$118,222.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,250.00 / $8,250.00 / $8,250.00	Professional		$8,250.00	$8,250.00	$8,250.00
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 $1,270.72 / $1,971.03 / $2,990.41	Professional		$1,270.72	$1,971.03	$2,990.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.39 / $2,295.33 / $11,121.28	Professional		$1,514.39	$2,295.33	$11,121.28
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 $1,686.79 / $1,744.99 / $1,898.03	Professional		$1,686.79	$1,744.99	$1,898.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,165.33	Professional		$32.34	$32.34	$2,165.33
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 $1,333.66 / $1,749.99 / $3,217.67	Professional		$1,333.66	$1,749.99	$3,217.67