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 $1,030.51 / $1,251.39 / $2,278.79	Professional		$1,030.51	$1,251.39	$2,278.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,637.08 / $16,336.00 / $32,712.84	Facility		$7,637.08	$16,336.00	$32,712.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,495.95 / $2,068.56 / $2,519.92	Professional		$1,495.95	$2,068.56	$2,519.92
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 $1,223.20 / $1,800.68 / $2,595.10	Professional		$1,223.20	$1,800.68	$2,595.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,402.32 / $2,063.35 / $5,769.81	Professional		$1,402.32	$2,063.35	$5,769.81
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 $1,428.86 / $1,560.59 / $1,736.20	Professional		$1,428.86	$1,560.59	$1,736.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,963.24	Professional		$32.34	$32.34	$1,963.24
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 $1,156.72 / $1,573.44 / $2,716.37	Professional		$1,156.72	$1,573.44	$2,716.37