Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,280.40 / $5,549.00	Facility		$1,061.00	$2,280.40	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.03 / $1,400.79 / $2,373.96	Professional		$1,110.03	$1,400.79	$2,373.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,298.53 / $13,421.98 / $29,278.48	Facility		$8,298.53	$13,421.98	$29,278.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,690.69 / $2,120.87 / $3,489.21	Professional		$1,690.69	$2,120.87	$3,489.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $12,002.00 / $13,106.00	Facility		$875.00	$12,002.00	$13,106.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,292.63 / $1,755.71 / $2,580.73	Professional		$1,292.63	$1,755.71	$2,580.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,305.68 / $2,045.08 / $5,148.64	Professional		$1,305.68	$2,045.08	$5,148.64
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 $1,439.31 / $1,543.07 / $1,690.69	Professional		$1,439.31	$1,543.07	$1,690.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,950.80	Professional		$32.34	$32.34	$1,950.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,292.50 / $1,733.95 / $2,833.67	Professional		$1,292.50	$1,733.95	$2,833.67