Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,988.48 / $5,430.00	Facility		$1,159.00	$2,988.48	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,458.45 / $1,650.21 / $2,988.48	Professional		$1,458.45	$1,650.21	$2,988.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,297.94 / $18,088.16 / $36,221.54	Facility		$8,297.94	$18,088.16	$36,221.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,874.12 / $2,245.33 / $2,809.24	Professional		$1,874.12	$2,245.33	$2,809.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,744.15	Facility		$400.00	$785.00	$1,744.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,512.38 / $2,319.03 / $3,590.46	Professional		$1,512.38	$2,319.03	$3,590.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,684.46 / $2,679.83 / $7,102.98	Professional		$1,684.46	$2,679.83	$7,102.98
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 $1,713.27 / $1,990.73 / $2,233.14	Professional		$1,713.27	$1,990.73	$2,233.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,525.17	Professional		$32.34	$32.34	$2,525.17
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 $1,594.86 / $2,320.88 / $3,639.71	Professional		$1,594.86	$2,320.88	$3,639.71