Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,918.17 / $6,661.00	Facility		$1,017.00	$2,918.17	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,293.54 / $1,574.07 / $2,918.17	Professional		$1,293.54	$1,574.07	$2,918.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,606.37 / $20,548.40 / $41,148.17	Facility		$9,606.37	$20,548.40	$41,148.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,881.68 / $2,601.92 / $3,170.07	Professional		$1,881.68	$2,601.92	$3,170.07
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 $1,315.60 / $2,182.77 / $3,191.82	Professional		$1,315.60	$2,182.77	$3,191.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,534.82 / $2,505.85 / $6,342.08	Professional		$1,534.82	$2,505.85	$6,342.08
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 $1,788.61 / $1,963.22 / $2,183.87	Professional		$1,788.61	$1,963.22	$2,183.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,469.44	Professional		$32.34	$32.34	$2,469.44
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 $1,244.85 / $1,847.30 / $3,468.57	Professional		$1,244.85	$1,847.30	$3,468.57