Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,335.00 / $6,661.00	Facility		$1,017.00	$3,335.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,726.56 / $2,106.69 / $3,925.53	Professional		$1,726.56	$2,106.69	$3,925.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,856.88 / $27,501.36 / $55,071.47	Facility		$12,856.88	$27,501.36	$55,071.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,516.92 / $3,480.32 / $4,241.35	Professional		$2,516.92	$3,480.32	$4,241.35
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 $1,278.79 / $2,876.20 / $4,269.35	Professional		$1,278.79	$2,876.20	$4,269.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,616.42 / $3,342.46 / $8,439.20	Professional		$1,616.42	$3,342.46	$8,439.20
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 $2,379.13 / $2,626.68 / $2,921.14	Professional		$2,379.13	$2,626.68	$2,921.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,303.13	Professional		$32.34	$32.34	$3,303.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,346.81 / $2,400.73 / $4,633.43	Professional		$1,346.81	$2,400.73	$4,633.43