Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,174.81 / $5,430.00	Facility		$1,159.00	$2,174.81	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.53 / $1,227.69 / $2,174.81	Professional		$1,049.53	$1,227.69	$2,174.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,173.30 / $13,456.80 / $26,947.24	Facility		$6,173.30	$13,456.80	$26,947.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,405.72 / $1,675.60 / $2,070.03	Professional		$1,405.72	$1,675.60	$2,070.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,294.96	Facility		$400.00	$785.00	$1,294.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.80 / $1,676.70 / $2,481.30	Professional		$1,117.80	$1,676.70	$2,481.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,254.10 / $1,938.17 / $6,186.69	Professional		$1,254.10	$1,938.17	$6,186.69
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 $1,287.81 / $1,482.13 / $1,666.51	Professional		$1,287.81	$1,482.13	$1,666.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,884.44	Professional		$32.34	$32.34	$1,884.44
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 $1,145.04 / $1,590.26 / $2,632.15	Professional		$1,145.04	$1,590.26	$2,632.15