Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,931.77 / $5,430.00	Facility		$1,159.00	$2,931.77	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,408.61 / $1,649.16 / $2,931.77	Professional		$1,408.61	$1,649.16	$2,931.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,292.65 / $18,076.64 / $36,198.47	Facility		$8,292.65	$18,076.64	$36,198.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,875.81 / $2,247.36 / $2,805.59	Professional		$1,875.81	$2,247.36	$2,805.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,739.15	Facility		$400.00	$785.00	$1,739.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.19 / $2,204.77 / $3,333.60	Professional		$1,427.19	$2,204.77	$3,333.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,682.27 / $2,599.88 / $6,478.69	Professional		$1,682.27	$2,599.88	$6,478.69
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 $1,725.44 / $1,988.14 / $2,235.16	Professional		$1,725.44	$1,988.14	$2,235.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,527.44	Professional		$32.34	$32.34	$2,527.44
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 $1,480.23 / $2,056.82 / $3,612.69	Professional		$1,480.23	$2,056.82	$3,612.69