Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,442.59 / $5,493.00	Facility		$1,129.00	$2,442.59	$5,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.85 / $1,379.54 / $2,442.59	Professional		$1,181.85	$1,379.54	$2,442.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,936.88 / $15,121.28 / $30,280.36	Facility		$6,936.88	$15,121.28	$30,280.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,568.97 / $1,879.74 / $2,346.65	Professional		$1,568.97	$1,879.74	$2,346.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,455.76	Facility		$400.00	$785.00	$1,455.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.39 / $1,891.71 / $2,779.48	Professional		$1,257.39	$1,891.71	$2,779.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.09 / $2,229.06 / $5,980.35	Professional		$1,407.09	$2,229.06	$5,980.35
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 $1,452.63 / $1,662.92 / $1,869.53	Professional		$1,452.63	$1,662.92	$1,869.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,114.01	Professional		$32.34	$32.34	$2,114.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,889.00 / $12,796.00	Facility		$1,172.00	$4,889.00	$12,796.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,264.97 / $1,726.53 / $2,956.05	Professional		$1,264.97	$1,726.53	$2,956.05