Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,800.00 / $5,580.00	Facility		$1,159.00	$2,800.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.34 / $1,406.36 / $2,471.73	Professional		$1,169.34	$1,406.36	$2,471.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $15,077.36 / $32,885.62	Facility		$4,464.57	$15,077.36	$32,885.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,661.46 / $2,297.41 / $2,794.56	Professional		$1,661.46	$2,297.41	$2,794.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.52 / $1,928.29 / $2,818.26	Professional		$1,258.52	$1,928.29	$2,818.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,449.70 / $2,247.61 / $8,576.84	Professional		$1,449.70	$2,247.61	$8,576.84
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 $1,620.65 / $1,730.66 / $1,928.29	Professional		$1,620.65	$1,730.66	$1,928.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,180.44	Professional		$32.34	$32.34	$2,180.44
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 $1,222.22 / $1,665.31 / $2,934.62	Professional		$1,222.22	$1,665.31	$2,934.62