Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,246.58 / $6,661.00	Facility		$1,017.00	$3,246.58	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,446.03 / $1,749.22 / $3,246.58	Professional		$1,446.03	$1,749.22	$3,246.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,675.30 / $22,834.88 / $45,726.84	Facility		$10,675.30	$22,834.88	$45,726.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,090.19 / $2,890.25 / $3,521.52	Professional		$2,090.19	$2,890.25	$3,521.52
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 $1,735.57 / $2,519.17 / $3,655.51	Professional		$1,735.57	$2,519.17	$3,655.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,972.67 / $2,917.17 / $10,132.48	Professional		$1,972.67	$2,917.17	$10,132.48
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 $1,981.10 / $2,180.88 / $2,425.87	Professional		$1,981.10	$2,180.88	$2,425.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,743.09	Professional		$32.34	$32.34	$2,743.09
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 $1,668.86 / $2,239.65 / $3,848.01	Professional		$1,668.86	$2,239.65	$3,848.01