Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,471.19 / $5,430.00	Facility		$1,159.00	$2,471.19	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.84 / $1,334.22 / $2,471.19	Professional		$1,203.84	$1,334.22	$2,471.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,635.39 / $14,464.08 / $28,964.32	Facility		$6,635.39	$14,464.08	$28,964.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,494.18 / $1,790.14 / $3,148.24	Professional		$1,494.18	$1,790.14	$3,148.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,468.20	Facility		$400.00	$785.00	$1,468.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,264.77 / $1,848.90 / $2,854.56	Professional		$1,264.77	$1,848.90	$2,854.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,379.79 / $2,131.88 / $5,866.43	Professional		$1,379.79	$2,131.88	$5,866.43
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 $1,523.67 / $1,630.66 / $1,780.42	Professional		$1,523.67	$1,630.66	$1,780.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,013.24	Professional		$32.34	$32.34	$2,013.24
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 $1,254.93 / $1,759.02 / $2,930.83	Professional		$1,254.93	$1,759.02	$2,930.83