Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,862.14 / $7,000.00	Facility		$1,017.00	$2,862.14	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.21 / $1,544.24 / $2,862.14	Professional		$1,269.21	$1,544.24	$2,862.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,424.31 / $20,158.96 / $40,368.31	Facility		$9,424.31	$20,158.96	$40,368.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,845.02 / $2,551.23 / $3,108.77	Professional		$1,845.02	$2,551.23	$3,108.77
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 $1,160.67 / $2,111.00 / $3,140.31	Professional		$1,160.67	$2,111.00	$3,140.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.17 / $2,450.17 / $6,224.37	Professional		$1,390.17	$2,450.17	$6,224.37
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 $1,755.44 / $1,925.26 / $2,141.33	Professional		$1,755.44	$1,925.26	$2,141.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,421.35	Professional		$32.34	$32.34	$2,421.35
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 $1,168.39 / $1,845.55 / $3,332.28	Professional		$1,168.39	$1,845.55	$3,332.28