Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,859.14 / $5,430.00	Facility		$1,159.00	$2,859.14	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,366.98 / $1,584.73 / $2,859.14	Professional		$1,366.98	$1,584.73	$2,859.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,968.67 / $17,370.40 / $34,784.22	Facility		$7,968.67	$17,370.40	$34,784.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,800.51 / $2,157.14 / $2,698.90	Professional		$1,800.51	$2,157.14	$2,698.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,675.90	Facility		$400.00	$785.00	$1,675.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,454.38 / $2,227.94 / $3,295.16	Professional		$1,454.38	$2,227.94	$3,295.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,618.30 / $2,538.60 / $6,424.06	Professional		$1,618.30	$2,538.60	$6,424.06
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 $1,650.09 / $1,912.53 / $2,145.42	Professional		$1,650.09	$1,912.53	$2,145.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,425.98	Professional		$32.34	$32.34	$2,425.98
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,873.00 / $6,291.00	Facility		$785.00	$2,873.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,504.82 / $2,129.88 / $3,478.18	Professional		$1,504.82	$2,129.88	$3,478.18