Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,035.00 / $7,125.00	Facility		$1,129.00	$3,035.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,246.85 / $1,612.43 / $2,360.77	Professional		$1,246.85	$1,612.43	$2,360.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $14,487.45 / $33,702.15	Facility		$7,091.59	$14,487.45	$33,702.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,673.23 / $2,412.21 / $2,574.25	Professional		$1,673.23	$2,412.21	$2,574.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,072.58 / $1,996.89 / $2,632.93	Professional		$1,072.58	$1,996.89	$2,632.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.87 / $2,218.77 / $4,518.42	Professional		$1,380.87	$2,218.77	$4,518.42
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 $1,665.40 / $1,729.48 / $1,922.93	Professional		$1,665.40	$1,729.48	$1,922.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,218.77	Professional		$32.34	$32.34	$2,218.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,267.48 / $1,820.87 / $3,020.91	Professional		$1,267.48	$1,820.87	$3,020.91