Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,747.00 / $5,549.00	Facility		$1,129.00	$2,747.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $989.68 / $1,204.80 / $2,213.28	Professional		$989.68	$1,204.80	$2,213.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,352.76 / $15,727.84 / $31,494.99	Facility		$7,352.76	$15,727.84	$31,494.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,437.23 / $1,987.36 / $2,421.29	Professional		$1,437.23	$1,987.36	$2,421.29
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 $1,184.83 / $1,730.20 / $2,519.48	Professional		$1,184.83	$1,730.20	$2,519.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,347.28 / $1,988.84 / $6,403.66	Professional		$1,347.28	$1,988.84	$6,403.66
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 $1,367.69 / $1,499.51 / $1,668.06	Professional		$1,367.69	$1,499.51	$1,668.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,886.19	Professional		$32.34	$32.34	$1,886.19
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 $1,121.01 / $1,532.45 / $2,630.40	Professional		$1,121.01	$1,532.45	$2,630.40