Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,322.65 / $5,430.00	Facility		$1,017.00	$2,322.65	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.53 / $1,209.77 / $2,322.65	Professional		$1,045.53	$1,209.77	$2,322.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,672.72 / $13,478.55 / $29,398.42	Facility		$7,672.72	$13,478.55	$29,398.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,499.48 / $2,073.42 / $2,536.13	Professional		$1,499.48	$2,073.42	$2,536.13
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 $1,205.72 / $1,784.02 / $2,551.41	Professional		$1,205.72	$1,784.02	$2,551.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,388.21 / $2,053.91 / $9,170.85	Professional		$1,388.21	$2,053.91	$9,170.85
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 $1,459.61 / $1,570.63 / $1,740.30	Professional		$1,459.61	$1,570.63	$1,740.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,967.87	Professional		$32.34	$32.34	$1,967.87
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 $1,146.95 / $1,568.74 / $2,752.43	Professional		$1,146.95	$1,568.74	$2,752.43