Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,800.00 / $5,580.00	Facility		$1,207.00	$2,800.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.20 / $1,327.74 / $2,371.50	Professional		$1,098.20	$1,327.74	$2,371.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,346.13 / $18,375.30 / $31,047.09	Facility		$13,346.13	$18,375.30	$31,047.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,579.64 / $2,184.28 / $2,659.45	Professional		$1,579.64	$2,184.28	$2,659.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $18,185.49 / $20,301.91	Facility		$875.00	$18,185.49	$20,301.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.41 / $1,868.92 / $2,715.36	Professional		$1,271.41	$1,868.92	$2,715.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,440.32 / $2,157.69 / $5,916.50	Professional		$1,440.32	$2,157.69	$5,916.50
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 $1,524.06 / $1,647.00 / $1,833.34	Professional		$1,524.06	$1,647.00	$1,833.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,073.08	Professional		$32.34	$32.34	$2,073.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,208.08 / $1,646.87 / $2,847.97	Professional		$1,208.08	$1,646.87	$2,847.97