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 $1,182.11 / $1,402.91 / $2,552.28	Professional		$1,182.11	$1,402.91	$2,552.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,561.79 / $18,314.00 / $36,673.78	Facility		$8,561.79	$18,314.00	$36,673.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,653.75 / $2,286.75 / $2,824.43	Professional		$1,653.75	$2,286.75	$2,824.43
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 $1,398.06 / $1,993.16 / $2,963.00	Professional		$1,398.06	$1,993.16	$2,963.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,550.23 / $2,353.51 / $8,422.91	Professional		$1,550.23	$2,353.51	$8,422.91
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 $1,644.50 / $1,749.16 / $1,919.33	Professional		$1,644.50	$1,749.16	$1,919.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,170.32	Professional		$32.34	$32.34	$2,170.32
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 $1,350.98 / $1,889.47 / $3,076.90	Professional		$1,350.98	$1,889.47	$3,076.90