Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,002.56 / $7,125.00	Facility		$1,272.00	$3,002.56	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.08 / $1,525.37 / $2,198.53	Professional		$1,171.08	$1,525.37	$2,198.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $13,705.19 / $31,882.38	Facility		$7,091.59	$13,705.19	$31,882.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,580.63 / $2,278.71 / $2,430.92	Professional		$1,580.63	$2,278.71	$2,430.92
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 $1,009.42 / $1,886.38 / $2,566.78	Professional		$1,009.42	$1,886.38	$2,566.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,291.55 / $2,095.98 / $4,601.72	Professional		$1,291.55	$2,095.98	$4,601.72
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 $1,577.81 / $1,633.19 / $1,816.52	Professional		$1,577.81	$1,633.19	$1,816.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,095.98	Professional		$32.34	$32.34	$2,095.98
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 $1,211.27 / $1,600.05 / $2,851.91	Professional		$1,211.27	$1,600.05	$2,851.91