Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,192.67 / $7,000.00	Facility		$1,017.00	$3,192.67	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.44 / $1,644.10 / $3,090.30	Professional		$1,412.44	$1,644.10	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,526.16 / $25,304.61 / $38,444.81	Facility		$16,526.16	$25,304.61	$38,444.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,882.42 / $2,602.96 / $3,243.50	Professional		$1,882.42	$2,602.96	$3,243.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $27,084.54 / $30,236.65	Facility		$996.00	$27,084.54	$30,236.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,490.44 / $2,268.77 / $3,470.43	Professional		$1,490.44	$2,268.77	$3,470.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,753.56 / $2,642.70 / $12,504.88	Professional		$1,753.56	$2,642.70	$12,504.88
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 $1,937.96 / $2,008.70 / $2,184.73	Professional		$1,937.96	$2,008.70	$2,184.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,470.44	Professional		$32.34	$32.34	$2,470.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,132.00 / $6,162.00 / $17,494.16	Facility		$2,132.00	$6,162.00	$17,494.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,555.07 / $2,083.92 / $3,774.84	Professional		$1,555.07	$2,083.92	$3,774.84