Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,387.27 / $5,430.00	Facility		$1,159.00	$2,387.27	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.71 / $1,362.03 / $2,387.27	Professional		$1,097.71	$1,362.03	$2,387.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,882.05 / $15,001.76 / $30,041.02	Facility		$6,882.05	$15,001.76	$30,041.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,557.10 / $1,865.51 / $2,329.16	Professional		$1,557.10	$1,865.51	$2,329.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,443.76	Facility		$400.00	$785.00	$1,443.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.58 / $1,826.84 / $2,680.66	Professional		$1,171.58	$1,826.84	$2,680.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,312.28 / $2,122.98 / $5,167.51	Professional		$1,312.28	$2,122.98	$5,167.51
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 $1,446.74 / $1,650.52 / $1,855.39	Professional		$1,446.74	$1,650.52	$1,855.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,098.01	Professional		$32.34	$32.34	$2,098.01
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 $1,202.76 / $1,644.06 / $2,934.35	Professional		$1,202.76	$1,644.06	$2,934.35