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 $1,064.76 / $1,296.34 / $2,383.57	Professional		$1,064.76	$1,296.34	$2,383.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,763.40 / $13,897.98 / $30,313.25	Facility		$7,763.40	$13,897.98	$30,313.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,652.78 / $2,272.67 / $2,272.67	Professional		$1,652.78	$2,272.67	$2,272.67
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 $1,197.79 / $1,833.69 / $2,681.90	Professional		$1,197.79	$1,833.69	$2,681.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,444.06 / $2,114.23 / $5,472.81	Professional		$1,444.06	$2,114.23	$5,472.81
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 $1,497.63 / $1,616.77 / $1,791.08	Professional		$1,497.63	$1,616.77	$1,791.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,025.29	Professional		$32.34	$32.34	$2,025.29
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 $1,191.08 / $1,638.47 / $2,837.66	Professional		$1,191.08	$1,638.47	$2,837.66