Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,238.35 / $5,430.00	Facility		$1,159.00	$2,238.35	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.40 / $1,218.47 / $2,238.35	Professional		$1,039.40	$1,218.47	$2,238.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,850.75 / $14,933.52 / $29,904.37	Facility		$6,850.75	$14,933.52	$29,904.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,470.27 / $1,873.16 / $2,378.41	Professional		$1,470.27	$1,873.16	$2,378.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,325.54	Facility		$400.00	$785.00	$1,325.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.84 / $1,680.14 / $2,531.76	Professional		$1,043.84	$1,680.14	$2,531.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,215.35 / $1,952.51 / $4,988.54	Professional		$1,215.35	$1,952.51	$4,988.54
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 $1,316.64 / $1,517.43 / $1,706.39	Professional		$1,316.64	$1,517.43	$1,706.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,929.54	Professional		$32.34	$32.34	$1,929.54
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,090.89 / $1,470.72 / $2,648.96	Professional		$1,090.89	$1,470.72	$2,648.96