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 $1,092.74 / $1,328.39 / $2,449.75	Professional		$1,092.74	$1,328.39	$2,449.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,107.04 / $17,341.28 / $34,725.91	Facility		$8,107.04	$17,341.28	$34,725.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,586.50 / $2,193.76 / $2,672.70	Professional		$1,586.50	$2,193.76	$2,672.70
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 $1,305.68 / $1,911.23 / $2,779.67	Professional		$1,305.68	$1,911.23	$2,779.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.04 / $2,178.59 / $5,356.90	Professional		$1,489.04	$2,178.59	$5,356.90
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 $1,513.27 / $1,655.20 / $1,841.29	Professional		$1,513.27	$1,655.20	$1,841.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,082.08	Professional		$32.34	$32.34	$2,082.08
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 $1,266.86 / $1,681.89 / $2,898.26	Professional		$1,266.86	$1,681.89	$2,898.26