Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,618.88 / $5,430.00	Facility		$1,017.00	$2,618.88	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.10 / $1,421.97 / $2,618.88	Professional		$1,169.10	$1,421.97	$2,618.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,678.14 / $18,562.88 / $37,172.16	Facility		$8,678.14	$18,562.88	$37,172.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.67 / $2,348.87 / $2,861.23	Professional		$1,698.67	$2,348.87	$2,861.23
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 $1,373.79 / $2,010.30 / $2,953.57	Professional		$1,373.79	$2,010.30	$2,953.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,575.95 / $2,330.80 / $5,711.86	Professional		$1,575.95	$2,330.80	$5,711.86
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 $1,616.58 / $1,771.95 / $1,971.48	Professional		$1,616.58	$1,771.95	$1,971.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,229.28	Professional		$32.34	$32.34	$2,229.28
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 $1,302.15 / $1,725.03 / $3,103.90	Professional		$1,302.15	$1,725.03	$3,103.90