Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,989.00 / $7,407.00	Facility		$1,017.00	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,875.00	Professional		$1,875.00	$1,875.00	$1,875.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,872.62 / $10,422.71 / $20,871.49	Facility		$4,872.62	$10,422.71	$20,871.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,079.71 / $1,292.11 / $1,539.41	Professional		$1,079.71	$1,292.11	$1,539.41
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 $350.00 / $511.21 / $1,823.86	Professional		$350.00	$511.21	$1,823.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $888.40 / $1,359.25 / $1,947.14	Professional		$888.40	$1,359.25	$1,947.14
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 $1,082.52 / $1,154.92 / $1,265.64	Professional		$1,082.52	$1,154.92	$1,265.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,166.33 / $1,198.70 / $2,500.00	Professional		$1,166.33	$1,198.70	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00