Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,747.00 / $9,691.00	Facility		$1,159.00	$2,747.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.57 / $1,624.48 / $2,646.38	Professional		$1,318.57	$1,624.48	$2,646.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,416.04 / $15,863.20 / $31,766.05	Facility		$7,416.04	$15,863.20	$31,766.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,682.77 / $1,993.88 / $2,329.73	Professional		$1,682.77	$1,993.88	$2,329.73
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 $1,492.39 / $2,073.56 / $3,308.37	Professional		$1,492.39	$2,073.56	$3,308.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,428.34 / $2,218.41 / $6,849.29	Professional		$1,428.34	$2,218.41	$6,849.29
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 $1,523.93 / $1,747.84 / $1,953.03	Professional		$1,523.93	$1,747.84	$1,953.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,208.42	Professional		$32.34	$32.34	$2,208.42
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,426.98 / $2,006.86 / $3,659.66	Professional		$1,426.98	$2,006.86	$3,659.66