Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,585.98 / $5,430.00	Facility		$1,159.00	$2,585.98	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.48 / $1,425.86 / $2,585.98	Professional		$1,259.48	$1,425.86	$2,585.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,169.82 / $15,629.04 / $31,297.15	Facility		$7,169.82	$15,629.04	$31,297.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,618.97 / $1,939.64 / $2,427.00	Professional		$1,618.97	$1,939.64	$2,427.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,507.97	Facility		$400.00	$785.00	$1,507.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,296.45 / $2,003.31 / $2,970.37	Professional		$1,296.45	$2,003.31	$2,970.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,455.27 / $2,315.19 / $5,838.83	Professional		$1,455.27	$2,315.19	$5,838.83
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 $1,479.47 / $1,719.86 / $1,929.11	Professional		$1,479.47	$1,719.86	$1,929.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,181.38	Professional		$32.34	$32.34	$2,181.38
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 $1,357.14 / $1,995.80 / $3,193.31	Professional		$1,357.14	$1,995.80	$3,193.31