Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,115.73 / $5,430.00	Facility		$1,159.00	$2,115.73	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.17 / $1,194.33 / $2,115.73	Professional		$1,045.17	$1,194.33	$2,115.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,005.58 / $13,091.20 / $26,215.12	Facility		$6,005.58	$13,091.20	$26,215.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,427.94 / $1,710.78 / $2,136.05	Professional		$1,427.94	$1,710.78	$2,136.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,325.30	Facility		$400.00	$785.00	$1,325.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.83 / $1,675.32 / $2,438.42	Professional		$1,044.83	$1,675.32	$2,438.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,181.59 / $1,938.68 / $4,032.54	Professional		$1,181.59	$1,938.68	$4,032.54
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 $1,335.72 / $1,513.68 / $1,701.49	Professional		$1,335.72	$1,513.68	$1,701.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,923.99	Professional		$32.34	$32.34	$1,923.99
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 $1,083.31 / $1,513.87 / $2,582.69	Professional		$1,083.31	$1,513.87	$2,582.69