Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,148.00 / $8,783.00	Facility		$1,272.00	$3,148.00	$8,783.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,432.67 / $1,832.39 / $2,880.82	Professional		$1,432.67	$1,832.39	$2,880.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,708.25 / $16,463.77 / $38,299.64	Facility		$7,708.25	$16,463.77	$38,299.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,729.90 / $2,766.75 / $2,959.13	Professional		$1,729.90	$2,766.75	$2,959.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $1,855.00 / $1,923.00	Facility		$1,855.00	$1,855.00	$1,923.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,575.50 / $2,290.38 / $3,381.68	Professional		$1,575.50	$2,290.38	$3,381.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,682.21 / $2,599.78 / $11,137.58	Professional		$1,682.21	$2,599.78	$11,137.58
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 $1,869.17 / $1,988.06 / $2,205.55	Professional		$1,869.17	$1,988.06	$2,205.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,544.87	Professional		$32.34	$32.34	$2,544.87
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 $1,596.43 / $2,412.80 / $3,769.27	Professional		$1,596.43	$2,412.80	$3,769.27