Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,057.73 / $5,091.00	Facility		$1,017.00	$2,057.73	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.03 / $1,123.89 / $2,057.73	Professional		$1,017.03	$1,123.89	$2,057.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,277.81 / $5,759.18 / $21,758.64	Facility		$3,277.81	$5,759.18	$21,758.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,272.33 / $1,524.35 / $2,650.75	Professional		$1,272.33	$1,524.35	$2,650.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $750.00 / $2,720.17	Facility		$400.00	$750.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.18 / $1,518.22 / $2,300.37	Professional		$975.18	$1,518.22	$2,300.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,119.04 / $1,758.49 / $4,758.70	Professional		$1,119.04	$1,758.49	$4,758.70
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 $1,307.60 / $1,385.48 / $1,516.07	Professional		$1,307.60	$1,385.48	$1,516.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,714.33	Professional		$32.34	$32.34	$1,714.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,049.08 / $1,419.35 / $2,451.98	Professional		$1,049.08	$1,419.35	$2,451.98