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 $1,099.48 / $1,335.01 / $2,316.30	Professional		$1,099.48	$1,335.01	$2,316.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,147.44 / $17,427.68 / $34,898.92	Facility		$8,147.44	$17,427.68	$34,898.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,435.09 / $2,197.92 / $2,689.43	Professional		$1,435.09	$2,197.92	$2,689.43
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 $1,215.42 / $1,889.27 / $2,743.36	Professional		$1,215.42	$1,889.27	$2,743.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,490.01 / $2,178.04 / $5,049.04	Professional		$1,490.01	$2,178.04	$5,049.04
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 $1,543.39 / $1,665.56 / $1,844.78	Professional		$1,543.39	$1,665.56	$1,844.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,086.02	Professional		$32.34	$32.34	$2,086.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,166.40 / $1,584.79 / $2,762.80	Professional		$1,166.40	$1,584.79	$2,762.80