Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,793.86 / $5,430.00	Facility		$1,159.00	$2,793.86	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,336.08 / $1,555.68 / $2,793.86	Professional		$1,336.08	$1,555.68	$2,793.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,822.60 / $17,052.00 / $34,146.62	Facility		$7,822.60	$17,052.00	$34,146.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,769.62 / $2,120.13 / $2,652.73	Professional		$1,769.62	$2,120.13	$2,652.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,648.58	Facility		$400.00	$785.00	$1,648.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,371.10 / $2,136.78 / $3,212.97	Professional		$1,371.10	$2,136.78	$3,212.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,527.35 / $2,417.19 / $6,233.79	Professional		$1,527.35	$2,417.19	$6,233.79
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 $1,636.80 / $1,879.83 / $2,108.63	Professional		$1,636.80	$1,879.83	$2,108.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,384.37	Professional		$32.34	$32.34	$2,384.37
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 $1,443.74 / $2,008.10 / $3,400.85	Professional		$1,443.74	$2,008.10	$3,400.85