Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,073.00 / $8,783.00	Facility		$1,272.00	$3,073.00	$8,783.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.70 / $1,323.52 / $2,289.00	Professional		$1,176.70	$1,323.52	$2,289.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,745.76 / $13,426.33 / $31,233.66	Facility		$4,745.76	$13,426.33	$31,233.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,446.42 / $2,446.42 / $2,446.42	Professional		$2,446.42	$2,446.42	$2,446.42
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 $1,277.82 / $1,726.79 / $2,562.60	Professional		$1,277.82	$1,726.79	$2,562.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,266.31 / $2,001.31 / $6,109.36	Professional		$1,266.31	$2,001.31	$6,109.36
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 $1,402.35 / $1,496.55 / $1,626.07	Professional		$1,402.35	$1,496.55	$1,626.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,876.23	Professional		$32.34	$32.34	$1,876.23
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 $1,257.72 / $1,797.61 / $3,215.22	Professional		$1,257.72	$1,797.61	$3,215.22