Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,678.99 / $5,405.00	Facility		$1,129.00	$2,678.99	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.33 / $1,575.58 / $2,718.06	Professional		$1,401.33	$1,575.58	$2,718.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,624.08 / $15,983.29 / $37,181.90	Facility		$6,624.08	$15,983.29	$37,181.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,763.24 / $2,628.33 / $2,907.36	Professional		$1,763.24	$2,628.33	$2,907.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.58 / $2,068.10 / $2,930.58	Professional		$1,518.58	$2,068.10	$2,930.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,504.90 / $2,376.44 / $7,371.87	Professional		$1,504.90	$2,376.44	$7,371.87
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 $1,664.43 / $1,778.52 / $1,930.86	Professional		$1,664.43	$1,778.52	$1,930.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,227.92	Professional		$32.34	$32.34	$2,227.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,515.18 / $2,130.39 / $3,727.67	Professional		$1,515.18	$2,130.39	$3,727.67