Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,120.31 / $5,430.00	Facility		$1,017.00	$2,120.31	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $949.31 / $1,152.19 / $2,120.31	Professional		$949.31	$1,152.19	$2,120.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,031.68 / $15,041.04 / $30,119.68	Facility		$7,031.68	$15,041.04	$30,119.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,378.28 / $1,905.85 / $2,321.44	Professional		$1,378.28	$1,905.85	$2,321.44
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 $1,111.06 / $1,625.19 / $2,362.57	Professional		$1,111.06	$1,625.19	$2,362.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.40 / $1,891.09 / $4,659.67	Professional		$1,273.40	$1,891.09	$4,659.67
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 $1,319.31 / $1,437.67 / $1,599.64	Professional		$1,319.31	$1,437.67	$1,599.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,808.82	Professional		$32.34	$32.34	$1,808.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,055.00 / $14,468.00	Facility		$2,600.00	$7,055.00	$14,468.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.57 / $1,471.17 / $2,508.58	Professional		$1,073.57	$1,471.17	$2,508.58