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 $1,195.80 / $1,469.30 / $2,605.81	Professional		$1,195.80	$1,469.30	$2,605.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.15 / $15,752.10 / $34,357.32	Facility		$2,202.15	$15,752.10	$34,357.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,731.81 / $2,394.69 / $2,744.58	Professional		$1,731.81	$2,394.69	$2,744.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $1,631.14 / $1,820.98	Facility		$996.00	$1,631.14	$1,820.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,363.54 / $2,051.77 / $2,937.61	Professional		$1,363.54	$2,051.77	$2,937.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,546.11 / $2,360.60 / $5,720.91	Professional		$1,546.11	$2,360.60	$5,720.91
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 $1,676.36 / $1,805.17 / $2,009.94	Professional		$1,676.36	$1,805.17	$2,009.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,272.78	Professional		$32.34	$32.34	$2,272.78
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 $1,299.14 / $1,708.85 / $3,092.50	Professional		$1,299.14	$1,708.85	$3,092.50