Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,117.72 / $5,580.00	Facility		$1,129.00	$3,117.72	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,466.10 / $1,577.79 / $3,069.06	Professional		$1,466.10	$1,577.79	$3,069.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,695.42 / $20,738.88 / $41,529.60	Facility		$9,695.42	$20,738.88	$41,529.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,878.52 / $2,597.56 / $3,239.34	Professional		$1,878.52	$2,597.56	$3,239.34
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 $1,435.35 / $2,264.06 / $3,388.24	Professional		$1,435.35	$2,264.06	$3,388.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,697.49 / $2,604.19 / $10,887.67	Professional		$1,697.49	$2,604.19	$10,887.67
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 $1,934.54 / $2,006.12 / $2,180.19	Professional		$1,934.54	$2,006.12	$2,180.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,465.31	Professional		$32.34	$32.34	$2,465.31
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 $1,518.59 / $2,028.54 / $3,726.72	Professional		$1,518.59	$2,028.54	$3,726.72