Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.00 / $2,758.00 / $6,500.00	Facility		$1,278.00	$2,758.00	$6,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.36 / $1,290.09 / $2,330.03	Professional		$1,106.36	$1,290.09	$2,330.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,967.78 / $18,188.58 / $30,166.94	Facility		$12,967.78	$18,188.58	$30,166.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,545.88 / $2,137.60 / $2,602.61	Professional		$1,545.88	$2,137.60	$2,602.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $11,898.00 / $18,313.56	Facility		$875.00	$11,898.00	$18,313.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.69 / $1,826.05 / $2,638.33	Professional		$1,223.69	$1,826.05	$2,638.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,449.13 / $2,120.13 / $6,457.99	Professional		$1,449.13	$2,120.13	$6,457.99
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 $1,486.13 / $1,611.79 / $1,794.16	Professional		$1,486.13	$1,611.79	$1,794.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,028.78	Professional		$32.34	$32.34	$2,028.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,253.00 / $14,572.00	Facility		$2,600.00	$7,253.00	$14,572.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,192.60 / $1,620.68 / $2,801.98	Professional		$1,192.60	$1,620.68	$2,801.98