Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,139.57 / $5,549.00	Facility		$1,129.00	$3,139.57	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,345.41 / $1,551.63 / $2,996.46	Professional		$1,345.41	$1,551.63	$2,996.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,469.41 / $20,255.43 / $40,561.51	Facility		$9,469.41	$20,255.43	$40,561.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,826.31 / $1,826.31 / $2,525.37	Professional		$1,826.31	$1,826.31	$2,525.37
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 $1,571.96 / $2,201.14 / $3,375.25	Professional		$1,571.96	$2,201.14	$3,375.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,712.00 / $2,561.96 / $7,609.77	Professional		$1,712.00	$2,561.96	$7,609.77
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 $1,884.81 / $1,947.70 / $2,119.62	Professional		$1,884.81	$1,947.70	$2,119.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,396.81	Professional		$32.34	$32.34	$2,396.81
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 $1,515.10 / $2,067.96 / $3,714.25	Professional		$1,515.10	$2,067.96	$3,714.25