Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,800.00 / $5,580.00	Facility		$1,207.00	$2,800.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,116.42 / $1,418.22 / $2,379.46	Professional		$1,116.42	$1,418.22	$2,379.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $12,742.51 / $29,642.89	Facility		$7,091.59	$12,742.51	$29,642.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,470.83 / $2,120.42 / $2,387.17	Professional		$1,470.83	$2,120.42	$2,387.17
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 $1,140.15 / $1,766.24 / $3,066.96	Professional		$1,140.15	$1,766.24	$3,066.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,298.53 / $1,989.38 / $6,438.06	Professional		$1,298.53	$1,989.38	$6,438.06
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 $1,472.11 / $1,534.62 / $1,690.33	Professional		$1,472.11	$1,534.62	$1,690.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,950.38	Professional		$32.34	$32.34	$1,950.38
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 $1,249.78 / $1,795.78 / $2,831.89	Professional		$1,249.78	$1,795.78	$2,831.89