Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,563.89 / $5,430.00	Facility		$1,159.00	$2,563.89	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,233.63 / $1,442.29 / $2,563.89	Professional		$1,233.63	$1,442.29	$2,563.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,252.43 / $15,809.12 / $31,657.76	Facility		$7,252.43	$15,809.12	$31,657.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,641.84 / $1,967.05 / $2,455.69	Professional		$1,641.84	$1,967.05	$2,455.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,522.36	Facility		$400.00	$785.00	$1,522.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.10 / $1,956.37 / $2,921.67	Professional		$1,304.10	$1,956.37	$2,921.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,472.47 / $2,275.64 / $5,700.65	Professional		$1,472.47	$2,275.64	$5,700.65
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 $1,514.37 / $1,740.19 / $1,956.37	Professional		$1,514.37	$1,740.19	$1,956.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,212.19	Professional		$32.34	$32.34	$2,212.19
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 $1,297.49 / $1,799.67 / $3,095.64	Professional		$1,297.49	$1,799.67	$3,095.64