Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,583.06 / $5,430.00	Facility		$1,159.00	$2,583.06	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,243.70 / $1,453.29 / $2,583.06	Professional		$1,243.70	$1,453.29	$2,583.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,307.74 / $15,929.68 / $31,899.18	Facility		$7,307.74	$15,929.68	$31,899.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,675.75 / $1,981.28 / $2,506.02	Professional		$1,675.75	$1,981.28	$2,506.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,533.78	Facility		$400.00	$785.00	$1,533.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,256.84 / $1,940.96 / $2,939.76	Professional		$1,256.84	$1,940.96	$2,939.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,424.58 / $2,234.36 / $5,738.32	Professional		$1,424.58	$2,234.36	$5,738.32
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 $1,527.06 / $1,752.82 / $1,970.53	Professional		$1,527.06	$1,752.82	$1,970.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,228.21	Professional		$32.34	$32.34	$2,228.21
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,873.00 / $6,291.00	Facility		$785.00	$2,873.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,303.59 / $1,809.82 / $3,182.53	Professional		$1,303.59	$1,809.82	$3,182.53