Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,067.74 / $5,549.00	Facility		$1,129.00	$3,067.74	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,338.49 / $1,551.87 / $3,014.70	Professional		$1,338.49	$1,551.87	$3,014.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,470.91 / $20,258.64 / $40,567.92	Facility		$9,470.91	$20,258.64	$40,567.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,834.40 / $2,536.55 / $3,164.14	Professional		$1,834.40	$2,536.55	$3,164.14
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 $1,524.10 / $2,210.89 / $3,325.51	Professional		$1,524.10	$2,210.89	$3,325.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,793.75 / $2,611.05 / $6,535.86	Professional		$1,793.75	$2,611.05	$6,535.86
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 $1,890.02 / $1,959.56 / $2,129.01	Professional		$1,890.02	$1,959.56	$2,129.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,407.42	Professional		$32.34	$32.34	$2,407.42
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 $1,510.89 / $2,038.85 / $3,601.84	Professional		$1,510.89	$2,038.85	$3,601.84