Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,880.00 / $5,405.00	Facility		$1,061.00	$2,880.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,806.71 / $2,167.03 / $3,324.51	Professional		$1,806.71	$2,167.03	$3,324.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,438.21 / $23,467.50 / $54,592.42	Facility		$7,438.21	$23,467.50	$54,592.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,231.44 / $3,983.43 / $4,094.60	Professional		$2,231.44	$3,983.43	$4,094.60
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 $1,895.80 / $2,692.39 / $3,692.55	Professional		$1,895.80	$2,692.39	$3,692.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,814.79 / $2,973.48 / $8,686.26	Professional		$1,814.79	$2,973.48	$8,686.26
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 $1,935.80 / $2,246.88 / $2,526.48	Professional		$1,935.80	$2,246.88	$2,526.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,856.87	Professional		$32.34	$32.34	$2,856.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $7,400.00 / $14,716.00	Facility		$1,520.00	$7,400.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,818.19 / $2,565.77 / $4,374.57	Professional		$1,818.19	$2,565.77	$4,374.57