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 $944.65 / $1,207.70 / $2,161.07	Professional		$944.65	$1,207.70	$2,161.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,594.81 / $16,245.60 / $32,531.81	Facility		$7,594.81	$16,245.60	$32,531.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,498.97 / $2,072.73 / $2,437.98	Professional		$1,498.97	$2,072.73	$2,437.98
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 $1,058.11 / $1,712.94 / $2,462.21	Professional		$1,058.11	$1,712.94	$2,462.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,235.30 / $1,974.41 / $4,123.12	Professional		$1,235.30	$1,974.41	$4,123.12
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 $1,283.39 / $1,509.85 / $1,739.71	Professional		$1,283.39	$1,509.85	$1,739.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,967.21	Professional		$32.34	$32.34	$1,967.21
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 $1,042.86 / $1,424.74 / $2,579.51	Professional		$1,042.86	$1,424.74	$2,579.51