Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,419.86 / $5,430.00	Facility		$1,159.00	$2,419.86	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.09 / $1,372.14 / $2,406.84	Professional		$1,101.09	$1,372.14	$2,406.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,899.67 / $15,040.16 / $30,117.92	Facility		$6,899.67	$15,040.16	$30,117.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,560.66 / $1,869.79 / $2,334.62	Professional		$1,560.66	$1,869.79	$2,334.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,447.58	Facility		$400.00	$785.00	$1,447.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,194.84 / $1,801.81 / $2,673.73	Professional		$1,194.84	$1,801.81	$2,673.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,356.64 / $2,113.52 / $5,073.31	Professional		$1,356.64	$2,113.52	$5,073.31
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 $1,450.20 / $1,654.39 / $1,859.64	Professional		$1,450.20	$1,654.39	$1,859.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,102.82	Professional		$32.34	$32.34	$2,102.82
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 $1,209.14 / $1,617.03 / $2,994.35	Professional		$1,209.14	$1,617.03	$2,994.35