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 / $7,000.00	Facility		$1,017.00	$2,784.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.35 / $1,215.93 / $2,403.56	Professional		$1,001.35	$1,215.93	$2,403.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,420.68 / $15,873.12 / $31,785.92	Facility		$7,420.68	$15,873.12	$31,785.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,452.33 / $2,008.24 / $2,446.50	Professional		$1,452.33	$2,008.24	$2,446.50
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 $1,216.26 / $1,750.41 / $2,517.53	Professional		$1,216.26	$1,750.41	$2,517.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,386.91 / $1,995.95 / $5,074.39	Professional		$1,386.91	$1,995.95	$5,074.39
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 $1,388.52 / $1,515.11 / $1,685.58	Professional		$1,388.52	$1,515.11	$1,685.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,906.00	Professional		$32.34	$32.34	$1,906.00
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 $1,136.52 / $1,522.85 / $2,653.89	Professional		$1,136.52	$1,522.85	$2,653.89