Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,694.47 / $5,549.00	Facility		$1,159.00	$2,694.47	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.41 / $1,494.13 / $2,694.47	Professional		$1,288.41	$1,494.13	$2,694.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,513.07 / $16,377.28 / $32,795.50	Facility		$7,513.07	$16,377.28	$32,795.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,700.70 / $2,037.57 / $2,549.37	Professional		$1,700.70	$2,037.57	$2,549.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,584.30	Facility		$400.00	$785.00	$1,584.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,364.76 / $2,047.14 / $3,094.30	Professional		$1,364.76	$2,047.14	$3,094.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,528.64 / $2,362.44 / $6,049.17	Professional		$1,528.64	$2,362.44	$6,049.17
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 $1,566.62 / $1,806.57 / $2,026.51	Professional		$1,566.62	$1,806.57	$2,026.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,291.51	Professional		$32.34	$32.34	$2,291.51
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 $1,400.22 / $1,973.07 / $3,292.72	Professional		$1,400.22	$1,973.07	$3,292.72