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 $1,180.24 / $1,435.29 / $2,647.15	Professional		$1,180.24	$1,435.29	$2,647.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,759.37 / $18,736.64 / $37,520.12	Facility		$8,759.37	$18,736.64	$37,520.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,715.85 / $2,372.62 / $2,890.44	Professional		$1,715.85	$2,372.62	$2,890.44
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 $1,402.90 / $2,049.17 / $2,984.51	Professional		$1,402.90	$2,049.17	$2,984.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.45 / $2,354.60 / $7,262.06	Professional		$1,608.45	$2,354.60	$7,262.06
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 $1,632.07 / $1,790.05 / $1,991.42	Professional		$1,632.07	$1,790.05	$1,991.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,251.83	Professional		$32.34	$32.34	$2,251.83
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 $1,315.79 / $1,781.96 / $3,146.19	Professional		$1,315.79	$1,781.96	$3,146.19