Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $3,116.67 / $5,580.00	Facility		$1,159.00	$3,116.67	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,556.25 / $1,970.84 / $3,116.67	Professional		$1,556.25	$1,970.84	$3,116.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,708.25 / $17,707.65 / $41,193.30	Facility		$7,708.25	$17,707.65	$41,193.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,071.10 / $2,985.80 / $3,250.13	Professional		$2,071.10	$2,985.80	$3,250.13
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 $1,823.80 / $2,471.71 / $3,552.08	Professional		$1,823.80	$2,471.71	$3,552.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,832.73 / $2,915.71 / $7,915.83	Professional		$1,832.73	$2,915.71	$7,915.83
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 $2,051.23 / $2,165.96 / $2,380.17	Professional		$2,051.23	$2,165.96	$2,380.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,746.35	Professional		$32.34	$32.34	$2,746.35
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 $1,789.59 / $2,557.17 / $3,994.82	Professional		$1,789.59	$2,557.17	$3,994.82