Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,607.92 / $5,430.00	Facility		$1,159.00	$2,607.92	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,254.36 / $1,467.25 / $2,607.92	Professional		$1,254.36	$1,467.25	$2,607.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,377.91 / $16,082.64 / $32,205.48	Facility		$7,377.91	$16,082.64	$32,205.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,669.31 / $1,999.96 / $2,496.88	Professional		$1,669.31	$1,999.96	$2,496.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,547.29	Facility		$400.00	$785.00	$1,547.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.91 / $1,976.60 / $2,936.98	Professional		$1,335.91	$1,976.60	$2,936.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,497.17 / $2,313.80 / $6,365.66	Professional		$1,497.17	$2,313.80	$6,365.66
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 $1,539.43 / $1,769.38 / $1,989.10	Professional		$1,539.43	$1,769.38	$1,989.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,249.21	Professional		$32.34	$32.34	$2,249.21
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 $1,337.26 / $1,854.93 / $3,148.52	Professional		$1,337.26	$1,854.93	$3,148.52