Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,394.73 / $5,430.00	Facility		$1,159.00	$2,394.73	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,155.96 / $1,349.62 / $2,394.73	Professional		$1,155.96	$1,349.62	$2,394.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,786.45 / $14,793.36 / $29,623.70	Facility		$6,786.45	$14,793.36	$29,623.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,554.00 / $1,837.33 / $2,324.29	Professional		$1,554.00	$1,837.33	$2,324.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,423.86	Facility		$400.00	$785.00	$1,423.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,190.04 / $1,802.21 / $2,718.13	Professional		$1,190.04	$1,802.21	$2,718.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.93 / $2,105.56 / $5,335.17	Professional		$1,367.93	$2,105.56	$5,335.17
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 $1,420.06 / $1,625.70 / $1,827.36	Professional		$1,420.06	$1,625.70	$1,827.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,066.32	Professional		$32.34	$32.34	$2,066.32
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 $1,198.57 / $1,652.74 / $2,891.55	Professional		$1,198.57	$1,652.74	$2,891.55