Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,221.00 / $8,125.00	Facility		$1,272.00	$3,221.00	$8,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.70 / $1,617.35 / $3,053.67	Professional		$1,350.70	$1,617.35	$3,053.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,838.36 / $17,339.41 / $37,819.44	Facility		$7,838.36	$17,339.41	$37,819.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,912.66 / $2,644.77 / $2,821.78	Professional		$1,912.66	$2,644.77	$2,821.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $9,541.83 / $10,652.31	Facility		$1,383.00	$9,541.83	$10,652.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,416.44 / $2,265.73 / $3,365.93	Professional		$1,416.44	$2,265.73	$3,365.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,693.57 / $2,617.34 / $6,825.62	Professional		$1,693.57	$2,617.34	$6,825.62
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 $1,879.59 / $2,001.49 / $2,219.84	Professional		$1,879.59	$2,001.49	$2,219.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,510.13	Professional		$32.34	$32.34	$2,510.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,478.94 / $1,975.42 / $3,601.45	Professional		$1,478.94	$1,975.42	$3,601.45