Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,758.00 / $5,580.00	Facility		$1,207.00	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,044.29 / $1,327.02 / $2,228.54	Professional		$1,044.29	$1,327.02	$2,228.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $11,923.11 / $27,736.71	Facility		$7,091.59	$11,923.11	$27,736.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,583.11 / $1,985.94 / $3,267.22	Professional		$1,583.11	$1,985.94	$3,267.22
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 $1,084.15 / $1,644.01 / $2,875.76	Professional		$1,084.15	$1,644.01	$2,875.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,215.20 / $1,863.20 / $6,070.43	Professional		$1,215.20	$1,863.20	$6,070.43
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 $1,380.72 / $1,436.15 / $1,583.11	Professional		$1,380.72	$1,436.15	$1,583.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,826.67	Professional		$32.34	$32.34	$1,826.67
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 $1,195.63 / $1,743.26 / $2,935.40	Professional		$1,195.63	$1,743.26	$2,935.40