Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,989.00 / $7,125.00	Facility		$1,207.00	$2,989.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,139.92 / $1,450.42 / $2,266.06	Professional		$1,139.92	$1,450.42	$2,266.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $13,031.78 / $30,315.83	Facility		$7,091.59	$13,031.78	$30,315.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,511.99 / $2,179.76 / $2,343.46	Professional		$1,511.99	$2,179.76	$2,343.46
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 $1,281.42 / $1,804.46 / $2,610.42	Professional		$1,281.42	$1,804.46	$2,610.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,332.21 / $2,058.87 / $5,034.55	Professional		$1,332.21	$2,058.87	$5,034.55
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 $1,521.68 / $1,574.43 / $1,737.63	Professional		$1,521.68	$1,574.43	$1,737.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,004.96	Professional		$32.34	$32.34	$2,004.96
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 $1,189.84 / $1,686.71 / $2,926.04	Professional		$1,189.84	$1,686.71	$2,926.04