Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,289.51 / $5,430.00	Facility		$1,159.00	$2,289.51	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.78 / $1,317.12 / $2,289.51	Professional		$1,073.78	$1,317.12	$2,289.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,623.02 / $14,437.12 / $28,910.33	Facility		$6,623.02	$14,437.12	$28,910.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,803.76 / $1,803.76 / $4,265.63	Professional		$1,803.76	$1,803.76	$4,265.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,399.41	Facility		$400.00	$785.00	$1,399.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.50 / $1,766.37 / $2,571.04	Professional		$1,047.50	$1,766.37	$2,571.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,246.60 / $2,052.71 / $4,630.60	Professional		$1,246.60	$2,052.71	$4,630.60
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 $1,427.70 / $1,595.98 / $1,793.96	Professional		$1,427.70	$1,595.98	$1,793.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,028.56	Professional		$32.34	$32.34	$2,028.56
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 $1,151.93 / $1,580.17 / $2,839.35	Professional		$1,151.93	$1,580.17	$2,839.35