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 $1,027.02 / $1,245.43 / $2,293.04	Professional		$1,027.02	$1,245.43	$2,293.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,600.68 / $16,258.16 / $32,556.96	Facility		$7,600.68	$16,258.16	$32,556.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,490.78 / $2,061.41 / $2,511.07	Professional		$1,490.78	$2,061.41	$2,511.07
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 $1,229.82 / $1,794.13 / $2,572.96	Professional		$1,229.82	$1,794.13	$2,572.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,397.48 / $2,042.17 / $5,036.35	Professional		$1,397.48	$2,042.17	$5,036.35
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 $1,429.27 / $1,555.11 / $1,730.21	Professional		$1,429.27	$1,555.11	$1,730.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,956.47	Professional		$32.34	$32.34	$1,956.47
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 $1,126.66 / $1,561.76 / $2,726.99	Professional		$1,126.66	$1,561.76	$2,726.99