Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,824.00 / $5,580.00	Facility		$1,159.00	$2,824.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,290.39 / $1,543.87 / $2,422.13	Professional		$1,290.39	$1,543.87	$2,422.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,833.01 / $11,254.38 / $26,181.05	Facility		$6,833.01	$11,254.38	$26,181.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,551.86 / $1,838.76 / $2,302.44	Professional		$1,551.86	$1,838.76	$2,302.44
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 $1,360.31 / $1,884.35 / $3,106.22	Professional		$1,360.31	$1,884.35	$3,106.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,296.46 / $2,119.73 / $5,799.59	Professional		$1,296.46	$2,119.73	$5,799.59
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 $1,348.26 / $1,605.14 / $1,801.09	Professional		$1,348.26	$1,605.14	$1,801.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,036.61	Professional		$32.34	$32.34	$2,036.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,364.84 / $1,922.44 / $3,127.68	Professional		$1,364.84	$1,922.44	$3,127.68