Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,204.40 / $4,634.00	Facility		$1,017.00	$2,204.40	$4,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.49 / $1,284.64 / $2,372.17	Professional		$1,041.49	$1,284.64	$2,372.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $13,772.42 / $30,039.40	Facility		$4,464.57	$13,772.42	$30,039.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,541.70 / $2,131.82 / $2,597.23	Professional		$1,541.70	$2,131.82	$2,597.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $3,072.73 / $3,430.33	Facility		$620.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.93 / $1,592.56 / $2,512.67	Professional		$658.93	$1,592.56	$2,512.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $989.82 / $2,041.51 / $5,958.15	Professional		$989.82	$2,041.51	$5,958.15
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 $1,470.51 / $1,608.46 / $1,789.31	Professional		$1,470.51	$1,608.46	$1,789.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,023.29	Professional		$32.34	$32.34	$2,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $692.14 / $1,424.85 / $2,799.79	Professional		$692.14	$1,424.85	$2,799.79