Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,513.30 / $5,430.00	Facility		$1,159.00	$2,513.30	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,211.33 / $1,381.57 / $2,513.30	Professional		$1,211.33	$1,381.57	$2,513.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,121.74 / $15,524.24 / $31,087.29	Facility		$7,121.74	$15,524.24	$31,087.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,613.29 / $1,932.84 / $2,412.52	Professional		$1,613.29	$1,932.84	$2,412.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,494.88	Facility		$400.00	$785.00	$1,494.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.45 / $1,892.77 / $2,855.33	Professional		$1,258.45	$1,892.77	$2,855.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.60 / $2,197.06 / $6,442.90	Professional		$1,412.60	$2,197.06	$6,442.90
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 $1,487.38 / $1,709.60 / $1,922.35	Professional		$1,487.38	$1,709.60	$1,922.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,173.73	Professional		$32.34	$32.34	$2,173.73
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 $1,273.92 / $1,780.17 / $3,072.06	Professional		$1,273.92	$1,780.17	$3,072.06