Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,270.00 / $6,661.00	Facility		$1,017.00	$3,270.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,488.46 / $1,813.66 / $3,368.26	Professional		$1,488.46	$1,813.66	$3,368.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,068.53 / $23,676.00 / $47,411.19	Facility		$11,068.53	$23,676.00	$47,411.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,166.88 / $2,996.30 / $3,650.78	Professional		$2,166.88	$2,996.30	$3,650.78
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 $1,446.27 / $2,481.00 / $3,687.99	Professional		$1,446.27	$2,481.00	$3,687.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,677.61 / $2,891.03 / $6,548.53	Professional		$1,677.61	$2,891.03	$6,548.53
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 $2,053.66 / $2,260.92 / $2,514.89	Professional		$2,053.66	$2,260.92	$2,514.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,843.76	Professional		$32.34	$32.34	$2,843.76
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 $1,382.39 / $2,102.08 / $4,005.62	Professional		$1,382.39	$2,102.08	$4,005.62