Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,187.37 / $6,661.00	Facility		$1,017.00	$3,187.37	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.83 / $1,726.12 / $3,187.37	Professional		$1,431.83	$1,726.12	$3,187.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,534.30 / $22,533.28 / $45,122.89	Facility		$10,534.30	$22,533.28	$45,122.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,050.14 / $2,834.87 / $3,249.07	Professional		$2,050.14	$2,834.87	$3,249.07
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 $1,643.50 / $2,470.91 / $3,553.10	Professional		$1,643.50	$2,470.91	$3,553.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,921.82 / $2,810.39 / $12,441.50	Professional		$1,921.82	$2,810.39	$12,441.50
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 $1,982.51 / $2,149.12 / $2,379.39	Professional		$1,982.51	$2,149.12	$2,379.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,690.54	Professional		$32.34	$32.34	$2,690.54
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 $1,572.54 / $2,181.28 / $3,796.14	Professional		$1,572.54	$2,181.28	$3,796.14