Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,457.64 / $9,691.00	Facility		$1,159.00	$2,457.64	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.22 / $1,353.76 / $2,457.64	Professional		$1,186.22	$1,353.76	$2,457.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,969.58 / $15,192.56 / $30,423.10	Facility		$6,969.58	$15,192.56	$30,423.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,578.38 / $1,891.02 / $2,360.82	Professional		$1,578.38	$1,891.02	$2,360.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,463.94	Facility		$400.00	$785.00	$1,463.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.16 / $1,880.75 / $2,786.04	Professional		$1,249.16	$1,880.75	$2,786.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,415.59 / $2,187.73 / $5,467.04	Professional		$1,415.59	$2,187.73	$5,467.04
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 $1,457.60 / $1,672.97 / $1,880.75	Professional		$1,457.60	$1,672.97	$1,880.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,126.69	Professional		$32.34	$32.34	$2,126.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,820.00 / $12,241.00	Facility		$1,300.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,263.58 / $1,744.72 / $3,032.70	Professional		$1,263.58	$1,744.72	$3,032.70