Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,777.67 / $5,430.00	Facility		$1,159.00	$2,777.67	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.21 / $1,540.24 / $2,777.67	Professional		$1,328.21	$1,540.24	$2,777.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,744.98 / $16,882.80 / $33,807.80	Facility		$7,744.98	$16,882.80	$33,807.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,751.32 / $2,098.21 / $2,625.45	Professional		$1,751.32	$2,098.21	$2,625.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,630.92	Facility		$400.00	$785.00	$1,630.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,404.65 / $2,091.90 / $3,177.67	Professional		$1,404.65	$2,091.90	$3,177.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,574.27 / $2,432.96 / $6,188.57	Professional		$1,574.27	$2,432.96	$6,188.57
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 $1,612.59 / $1,860.50 / $2,086.83	Professional		$1,612.59	$1,860.50	$2,086.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,359.71	Professional		$32.34	$32.34	$2,359.71
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 $1,452.51 / $2,021.80 / $3,309.41	Professional		$1,452.51	$2,021.80	$3,309.41