Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,221.95 / $2,528.00 / $7,000.00	Facility		$1,221.95	$2,528.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.95 / $1,517.24 / $2,517.25	Professional		$1,153.95	$1,517.24	$2,517.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,261.65 / $10,999.75 / $23,991.85	Facility		$6,261.65	$10,999.75	$23,991.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.24 / $1,746.59 / $2,581.27	Professional		$1,393.24	$1,746.59	$2,581.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,170.55 / $1,910.13 / $2,773.59	Professional		$1,170.55	$1,910.13	$2,773.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,396.17 / $2,205.64 / $4,918.45	Professional		$1,396.17	$2,205.64	$4,918.45
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 $1,387.96 / $1,493.92 / $2,075.29	Professional		$1,387.96	$1,493.92	$2,075.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,394.57	Professional		$32.34	$32.34	$2,394.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,442.89 / $2,014.60 / $3,728.55	Professional		$1,442.89	$2,014.60	$3,728.55