Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,069.72 / $5,430.00	Facility		$1,017.00	$3,069.72	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,369.73 / $1,666.68 / $3,069.72	Professional		$1,369.73	$1,666.68	$3,069.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,171.56 / $21,757.36 / $43,569.11	Facility		$10,171.56	$21,757.36	$43,569.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,990.33 / $2,752.16 / $3,352.95	Professional		$1,990.33	$2,752.16	$3,352.95
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 $1,611.12 / $2,375.66 / $3,458.76	Professional		$1,611.12	$2,375.66	$3,458.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,865.75 / $2,731.37 / $6,660.82	Professional		$1,865.75	$2,731.37	$6,660.82
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 $1,891.50 / $2,076.48 / $2,309.96	Professional		$1,891.50	$2,076.48	$2,309.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,612.04	Professional		$32.34	$32.34	$2,612.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $7,842.00 / $21,651.00	Facility		$2,421.00	$7,842.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,552.08 / $2,096.03 / $3,657.30	Professional		$1,552.08	$2,096.03	$3,657.30