Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,989.00 / $7,000.00	Facility		$1,017.00	$2,989.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.42 / $1,576.74 / $2,797.39	Professional		$1,304.42	$1,576.74	$2,797.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $16,903.95 / $36,869.65	Facility		$4,464.57	$16,903.95	$36,869.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,865.12 / $2,579.03 / $3,138.25	Professional		$1,865.12	$2,579.03	$3,138.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $3,072.73 / $3,430.33	Facility		$996.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,449.92 / $2,197.96 / $3,163.73	Professional		$1,449.92	$2,197.96	$3,163.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,665.12 / $2,547.63 / $6,180.90	Professional		$1,665.12	$2,547.63	$6,180.90
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 $1,808.01 / $1,943.51 / $2,164.66	Professional		$1,808.01	$1,943.51	$2,164.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,447.73	Professional		$32.34	$32.34	$2,447.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,095.00 / $2,588.00 / $4,780.00	Facility		$1,095.00	$2,588.00	$4,780.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,374.03 / $1,861.03 / $3,331.35	Professional		$1,374.03	$1,861.03	$3,331.35