Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,257.38 / $5,430.00	Facility		$1,159.00	$2,257.38	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.92 / $1,273.76 / $2,225.55	Professional		$1,015.92	$1,273.76	$2,225.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,466.20 / $14,095.28 / $28,225.79	Facility		$6,466.20	$14,095.28	$28,225.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,465.27 / $1,755.50 / $2,191.17	Professional		$1,465.27	$1,755.50	$2,191.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,357.84	Facility		$400.00	$785.00	$1,357.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,149.67 / $1,732.20 / $2,577.23	Professional		$1,149.67	$1,732.20	$2,577.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,279.24 / $1,997.79 / $5,063.89	Professional		$1,279.24	$1,997.79	$5,063.89
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 $1,353.68 / $1,552.75 / $1,745.97	Professional		$1,353.68	$1,552.75	$1,745.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,974.28	Professional		$32.34	$32.34	$1,974.28
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 $1,152.90 / $1,597.27 / $2,803.57	Professional		$1,152.90	$1,597.27	$2,803.57