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 $1,003.46 / $1,222.57 / $2,260.69	Professional		$1,003.46	$1,222.57	$2,260.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,461.22 / $15,959.84 / $31,959.57	Facility		$7,461.22	$15,959.84	$31,959.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,457.75 / $2,015.73 / $2,456.44	Professional		$1,457.75	$2,015.73	$2,456.44
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 $1,223.36 / $1,756.93 / $2,587.29	Professional		$1,223.36	$1,756.93	$2,587.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,385.41 / $2,047.87 / $4,940.38	Professional		$1,385.41	$2,047.87	$4,940.38
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 $1,381.39 / $1,521.27 / $1,691.86	Professional		$1,381.39	$1,521.27	$1,691.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,913.10	Professional		$32.34	$32.34	$1,913.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,121.55 / $1,536.41 / $2,678.28	Professional		$1,121.55	$1,536.41	$2,678.28