Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,784.00 / $6,661.00	Facility		$1,017.00	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.71 / $1,332.79 / $2,450.55	Professional		$1,096.71	$1,332.79	$2,450.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,133.90 / $17,398.72 / $34,840.93	Facility		$8,133.90	$17,398.72	$34,840.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,591.26 / $2,200.34 / $2,680.93	Professional		$1,591.26	$2,200.34	$2,680.93
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 $1,301.23 / $1,915.73 / $2,769.82	Professional		$1,301.23	$1,915.73	$2,769.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,491.66 / $2,183.92 / $6,010.67	Professional		$1,491.66	$2,183.92	$6,010.67
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 $1,517.97 / $1,660.30 / $1,846.82	Professional		$1,517.97	$1,660.30	$1,846.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,088.33	Professional		$32.34	$32.34	$2,088.33
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 $1,247.08 / $1,675.84 / $2,919.48	Professional		$1,247.08	$1,675.84	$2,919.48