Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,836.00 / $7,123.00	Facility		$1,017.00	$2,836.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.15 / $1,500.00 / $2,776.15	Professional		$1,310.15	$1,500.00	$2,776.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,154.32 / $19,581.43 / $39,211.83	Facility		$9,154.32	$19,581.43	$39,211.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,793.25 / $2,479.66 / $3,021.24	Professional		$1,793.25	$2,479.66	$3,021.24
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 $1,483.50 / $2,160.84 / $3,130.35	Professional		$1,483.50	$2,160.84	$3,130.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,689.85 / $2,461.15 / $6,930.65	Professional		$1,689.85	$2,461.15	$6,930.65
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 $1,705.54 / $1,871.05 / $2,081.25	Professional		$1,705.54	$1,871.05	$2,081.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,353.41	Professional		$32.34	$32.34	$2,353.41
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 $1,407.78 / $1,886.59 / $3,293.81	Professional		$1,407.78	$1,886.59	$3,293.81