Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,421.36 / $9,054.00	Facility		$1,159.00	$2,421.36	$9,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,284.25 / $1,313.80 / $2,421.36	Professional		$1,284.25	$1,313.80	$2,421.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,392.82 / $20,091.59 / $40,233.42	Facility		$9,392.82	$20,091.59	$40,233.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,932.33 / $2,932.33 / $2,932.33	Professional		$2,932.33	$2,932.33	$2,932.33
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 $1,287.35 / $1,811.29 / $2,606.61	Professional		$1,287.35	$1,811.29	$2,606.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,359.07 / $2,146.69 / $5,242.81	Professional		$1,359.07	$2,146.69	$5,242.81
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 $1,504.20 / $1,606.18 / $1,744.20	Professional		$1,504.20	$1,606.18	$1,744.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,012.54	Professional		$32.34	$32.34	$2,012.54
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $1,689.00 / $4,183.00	Facility		$607.00	$1,689.00	$4,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,358.99 / $1,923.51 / $2,876.82	Professional		$1,358.99	$1,923.51	$2,876.82