Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,784.00 / $7,000.00	Facility		$1,017.00	$2,784.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,043.18 / $1,204.52 / $2,336.94	Professional		$1,043.18	$1,204.52	$2,336.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.91 / $56,173.50 / $122,521.50	Facility		$8,139.91	$56,173.50	$122,521.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,817.86 / $8,550.00 / $8,550.00	Professional		$2,817.86	$8,550.00	$8,550.00
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 $1,187.99 / $1,723.98 / $2,575.21	Professional		$1,187.99	$1,723.98	$2,575.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,356.83 / $2,009.28 / $6,738.69	Professional		$1,356.83	$2,009.28	$6,738.69
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 $1,473.41 / $1,527.53 / $1,660.13	Professional		$1,473.41	$1,527.53	$1,660.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,877.22	Professional		$32.34	$32.34	$1,877.22
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 $1,168.84 / $1,614.11 / $2,850.99	Professional		$1,168.84	$1,614.11	$2,850.99