Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.46 / $2,684.15 / $7,000.00	Facility		$1,239.46	$2,684.15	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,184.15 / $1,510.97 / $2,612.23	Professional		$1,184.15	$1,510.97	$2,612.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,351.38 / $11,157.37 / $24,335.63	Facility		$6,351.38	$11,157.37	$24,335.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,405.51 / $2,028.19 / $2,532.91	Professional		$1,405.51	$2,028.19	$2,532.91
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 $1,350.78 / $2,004.03 / $2,888.85	Professional		$1,350.78	$2,004.03	$2,888.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,494.79 / $2,232.85 / $5,405.55	Professional		$1,494.79	$2,232.85	$5,405.55
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 $1,429.44 / $1,523.73 / $2,017.18	Professional		$1,429.44	$1,523.73	$2,017.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,327.52	Professional		$32.34	$32.34	$2,327.52
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 $1,514.79 / $2,183.51 / $3,655.60	Professional		$1,514.79	$2,183.51	$3,655.60