Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,755.00 / $5,549.00	Facility		$1,129.00	$2,755.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,208.22 / $1,398.96 / $2,701.24	Professional		$1,208.22	$1,398.96	$2,701.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,831.58 / $14,998.06 / $32,712.66	Facility		$7,831.58	$14,998.06	$32,712.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,653.38 / $2,286.25 / $2,850.54	Professional		$1,653.38	$2,286.25	$2,850.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $5,676.58 / $6,337.22	Facility		$875.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.17 / $1,992.72 / $2,982.35	Professional		$1,380.17	$1,992.72	$2,982.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,568.35 / $2,322.09 / $6,793.02	Professional		$1,568.35	$2,322.09	$6,793.02
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 $1,702.31 / $1,765.34 / $1,918.92	Professional		$1,702.31	$1,765.34	$1,918.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,186.87	Professional		$32.34	$32.34	$2,186.87
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 $1,339.51 / $1,804.44 / $3,232.91	Professional		$1,339.51	$1,804.44	$3,232.91