Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,842.96 / $6,661.00	Facility		$1,017.00	$2,842.96	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,268.00 / $1,544.55 / $2,842.96	Professional		$1,268.00	$1,544.55	$2,842.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,426.21 / $20,163.04 / $40,376.48	Facility		$9,426.21	$20,163.04	$40,376.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,835.17 / $2,537.61 / $3,105.51	Professional		$1,835.17	$2,537.61	$3,105.51
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 $1,497.79 / $2,211.81 / $3,218.54	Professional		$1,497.79	$2,211.81	$3,218.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,755.77 / $2,515.01 / $11,481.67	Professional		$1,755.77	$2,515.01	$11,481.67
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 $1,776.02 / $1,923.25 / $2,129.89	Professional		$1,776.02	$1,923.25	$2,129.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,408.42	Professional		$32.34	$32.34	$2,408.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,945.00 / $11,479.00	Facility		$2,100.00	$5,945.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,404.98 / $1,942.46 / $3,399.22	Professional		$1,404.98	$1,942.46	$3,399.22