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 / $6,661.00	Facility		$1,017.00	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.23 / $1,315.89 / $2,537.98	Professional		$1,143.23	$1,315.89	$2,537.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,831.58 / $14,107.43 / $30,770.09	Facility		$7,831.58	$14,107.43	$30,770.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.08 / $2,140.64 / $2,663.80	Professional		$1,548.08	$2,140.64	$2,663.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $7,607.24 / $8,492.57	Facility		$875.00	$7,607.24	$8,492.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,251.91 / $1,865.81 / $2,815.39	Professional		$1,251.91	$1,865.81	$2,815.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,468.46 / $2,169.96 / $9,926.03	Professional		$1,468.46	$2,169.96	$9,926.03
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 $1,599.18 / $1,649.69 / $1,796.70	Professional		$1,599.18	$1,649.69	$1,796.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,052.29	Professional		$32.34	$32.34	$2,052.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,132.00 / $5,951.00 / $11,831.32	Facility		$2,132.00	$5,951.00	$11,831.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,289.25 / $1,741.65 / $3,150.65	Professional		$1,289.25	$1,741.65	$3,150.65