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 / $7,123.00	Facility		$1,017.00	$2,784.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.22 / $1,305.21 / $2,518.16	Professional		$1,099.22	$1,305.21	$2,518.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,965.56 / $17,038.64 / $34,119.87	Facility		$7,965.56	$17,038.64	$34,119.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,568.90 / $2,169.42 / $2,642.99	Professional		$1,568.90	$2,169.42	$2,642.99
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 $1,293.13 / $1,888.62 / $2,724.63	Professional		$1,293.13	$1,888.62	$2,724.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,487.50 / $2,153.03 / $6,794.83	Professional		$1,487.50	$2,153.03	$6,794.83
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 $1,496.82 / $1,636.80 / $1,820.87	Professional		$1,496.82	$1,636.80	$1,820.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,058.98	Professional		$32.34	$32.34	$2,058.98
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 $1,226.50 / $1,659.31 / $2,859.35	Professional		$1,226.50	$1,659.31	$2,859.35