Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,270.00 / $6,661.00	Facility		$1,017.00	$3,270.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,415.80 / $1,790.94 / $3,384.77	Professional		$1,415.80	$1,790.94	$3,384.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,841.02 / $25,328.40 / $50,720.12	Facility		$11,841.02	$25,328.40	$50,720.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,333.94 / $3,227.31 / $3,790.31	Professional		$2,333.94	$3,227.31	$3,790.31
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 $1,573.67 / $2,604.60 / $3,660.48	Professional		$1,573.67	$2,604.60	$3,660.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,911.35 / $2,979.31 / $6,419.82	Professional		$1,911.35	$2,979.31	$6,419.82
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 $1,969.05 / $2,347.33 / $2,708.78	Professional		$1,969.05	$2,347.33	$2,708.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,063.01	Professional		$32.34	$32.34	$3,063.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,522.38 / $2,140.21 / $4,046.04	Professional		$1,522.38	$2,140.21	$4,046.04