Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,428.32 / $5,430.00	Facility		$1,159.00	$2,428.32	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.79 / $1,368.29 / $2,428.32	Professional		$1,172.79	$1,368.29	$2,428.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,880.33 / $14,998.00 / $30,033.49	Facility		$6,880.33	$14,998.00	$30,033.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.27 / $1,862.27 / $4,404.01	Professional		$1,862.27	$1,862.27	$4,404.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,443.47	Facility		$400.00	$785.00	$1,443.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.65 / $1,852.16 / $2,753.00	Professional		$1,232.65	$1,852.16	$2,753.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,379.71 / $2,132.73 / $5,416.18	Professional		$1,379.71	$2,132.73	$5,416.18
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 $1,440.31 / $1,647.50 / $1,852.16	Professional		$1,440.31	$1,647.50	$1,852.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,094.37	Professional		$32.34	$32.34	$2,094.37
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 $1,231.26 / $1,709.03 / $2,999.17	Professional		$1,231.26	$1,709.03	$2,999.17