Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,427.64 / $5,430.00	Facility		$1,159.00	$2,427.64	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.80 / $1,379.84 / $2,427.64	Professional		$1,188.80	$1,379.84	$2,427.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,938.39 / $15,124.56 / $30,286.93	Facility		$6,938.39	$15,124.56	$30,286.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,599.38 / $1,890.98 / $2,392.17	Professional		$1,599.38	$1,890.98	$2,392.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,464.18	Facility		$400.00	$785.00	$1,464.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,137.83 / $1,861.26 / $2,768.78	Professional		$1,137.83	$1,861.26	$2,768.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,351.42 / $2,123.67 / $5,438.79	Professional		$1,351.42	$2,123.67	$5,438.79
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 $1,482.14 / $1,673.19 / $1,880.72	Professional		$1,482.14	$1,673.19	$1,880.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,126.66	Professional		$32.34	$32.34	$2,126.66
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 $1,234.71 / $1,701.81 / $2,929.39	Professional		$1,234.71	$1,701.81	$2,929.39