Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,494.27 / $5,549.00	Facility		$1,129.00	$2,494.27	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.64 / $1,603.68 / $2,494.27	Professional		$1,340.64	$1,603.68	$2,494.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,097.69 / $15,182.24 / $30,402.43	Facility		$7,097.69	$15,182.24	$30,402.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,612.87 / $1,911.05 / $2,556.08	Professional		$1,612.87	$1,911.05	$2,556.08
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 $1,422.06 / $1,998.71 / $3,090.65	Professional		$1,422.06	$1,998.71	$3,090.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.96 / $2,150.27 / $5,262.49	Professional		$1,367.96	$2,150.27	$5,262.49
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 $1,451.09 / $1,669.15 / $1,871.90	Professional		$1,451.09	$1,669.15	$1,871.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,116.67	Professional		$32.34	$32.34	$2,116.67
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 $1,397.30 / $1,918.19 / $2,967.32	Professional		$1,397.30	$1,918.19	$2,967.32