Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,891.77 / $5,430.00	Facility		$1,159.00	$2,891.77	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.69 / $1,547.80 / $2,872.44	Professional		$1,368.69	$1,547.80	$2,872.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,782.96 / $16,965.59 / $33,973.61	Facility		$7,782.96	$16,965.59	$33,973.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,757.56 / $2,105.69 / $2,634.76	Professional		$1,757.56	$2,105.69	$2,634.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,636.73	Facility		$400.00	$785.00	$1,636.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,409.76 / $2,174.80 / $3,322.98	Professional		$1,409.76	$2,174.80	$3,322.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,579.84 / $2,513.39 / $6,594.26	Professional		$1,579.84	$2,513.39	$6,594.26
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 $1,608.97 / $1,867.09 / $2,094.25	Professional		$1,608.97	$1,867.09	$2,094.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,368.11	Professional		$32.34	$32.34	$2,368.11
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,800.00 / $6,291.00	Facility		$785.00	$2,800.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,470.53 / $2,151.30 / $3,460.37	Professional		$1,470.53	$2,151.30	$3,460.37