Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,909.90 / $5,389.00	Facility		$1,017.00	$1,909.90	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.84 / $1,042.02 / $1,909.90	Professional		$1,021.84	$1,042.02	$1,909.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.74 / $12,309.46 / $28,635.49	Facility		$2,818.74	$12,309.46	$28,635.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.80 / $1,389.38 / $2,135.42	Professional		$370.80	$1,389.38	$2,135.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.41 / $1,442.81 / $2,105.80	Professional		$1,091.41	$1,442.81	$2,105.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.58 / $1,681.36 / $4,802.74	Professional		$1,081.58	$1,681.36	$4,802.74
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 $1,201.75 / $1,278.23 / $1,389.38	Professional		$1,201.75	$1,278.23	$1,389.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,603.13	Professional		$32.34	$32.34	$1,603.13
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,083.67 / $1,520.05 / $2,271.27	Professional		$1,083.67	$1,520.05	$2,271.27