Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $2,800.00 / $6,180.00	Facility		$1,272.00	$2,800.00	$6,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.18 / $1,397.45 / $1,975.16	Professional		$1,067.18	$1,397.45	$1,975.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $12,555.86 / $29,208.69	Facility		$7,091.59	$12,555.86	$29,208.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,443.96 / $2,081.67 / $2,219.69	Professional		$1,443.96	$2,081.67	$2,219.69
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 $907.54 / $1,720.71 / $2,272.16	Professional		$907.54	$1,720.71	$2,272.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,177.60 / $1,914.75 / $3,478.81	Professional		$1,177.60	$1,914.75	$3,478.81
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 $1,449.24 / $1,491.28 / $1,659.45	Professional		$1,449.24	$1,491.28	$1,659.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,914.75	Professional		$32.34	$32.34	$1,914.75
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,070.80 / $1,541.21 / $2,602.57	Professional		$1,070.80	$1,541.21	$2,602.57