Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,448.05 / $5,430.00	Facility		$1,129.00	$2,448.05	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.85 / $1,379.54 / $2,448.05	Professional		$1,181.85	$1,379.54	$2,448.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,994.12 / $11,312.24 / $26,707.96	Facility		$6,994.12	$11,312.24	$26,707.96
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 $1,256.94 / $1,899.21 / $2,785.61	Professional		$1,256.94	$1,899.21	$2,785.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.09 / $2,229.06 / $10,673.60	Professional		$1,407.09	$2,229.06	$10,673.60
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 $1,300.00 / $5,820.00 / $12,796.00	Facility		$1,300.00	$5,820.00	$12,796.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,244.92 / $1,689.38 / $3,016.55	Professional		$1,244.92	$1,689.38	$3,016.55