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 $1,054.18 / $1,282.08 / $2,280.73	Professional		$1,054.18	$1,282.08	$2,280.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,824.37 / $16,736.64 / $33,515.12	Facility		$7,824.37	$16,736.64	$33,515.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,530.97 / $2,116.98 / $2,579.10	Professional		$1,530.97	$2,116.98	$2,579.10
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 $1,202.16 / $1,793.00 / $2,610.52	Professional		$1,202.16	$1,793.00	$2,610.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.48 / $2,100.96 / $5,827.76	Professional		$1,421.48	$2,100.96	$5,827.76
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 $1,458.78 / $1,597.23 / $1,776.84	Professional		$1,458.78	$1,597.23	$1,776.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,009.20	Professional		$32.34	$32.34	$2,009.20
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 $1,186.57 / $1,616.86 / $2,812.97	Professional		$1,186.57	$1,616.86	$2,812.97