Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,641.44 / $5,549.00	Facility		$1,159.00	$2,641.44	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,404.01 / $1,432.55 / $2,683.82	Professional		$1,404.01	$1,432.55	$2,683.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,268.69 / $21,965.12 / $43,985.15	Facility		$10,268.69	$21,965.12	$43,985.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,691.48 / $2,720.37 / $2,933.66	Professional		$1,691.48	$2,720.37	$2,933.66
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 $1,460.32 / $1,992.28 / $2,847.04	Professional		$1,460.32	$1,992.28	$2,847.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,485.88 / $2,309.87 / $8,489.92	Professional		$1,485.88	$2,309.87	$8,489.92
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 $1,642.33 / $1,756.04 / $1,906.54	Professional		$1,642.33	$1,756.04	$1,906.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,199.86	Professional		$32.34	$32.34	$2,199.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,454.77 / $2,099.14 / $3,141.84	Professional		$1,454.77	$2,099.14	$3,141.84