Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,927.60 / $5,549.00	Facility		$1,159.00	$2,927.60	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.42 / $1,506.59 / $2,927.60	Professional		$1,312.42	$1,506.59	$2,927.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,216.21 / $19,713.84 / $39,476.96	Facility		$9,216.21	$19,713.84	$39,476.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,865.34 / $2,508.59 / $2,957.81	Professional		$1,865.34	$2,508.59	$2,957.81
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 $1,482.66 / $2,215.26 / $3,117.77	Professional		$1,482.66	$2,215.26	$3,117.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,637.50 / $2,530.69 / $6,312.01	Professional		$1,637.50	$2,530.69	$6,312.01
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 $1,784.24 / $1,935.23 / $2,133.21	Professional		$1,784.24	$1,935.23	$2,133.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,461.40	Professional		$32.34	$32.34	$2,461.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $8,141.00 / $21,651.00	Facility		$2,276.00	$8,141.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,499.80 / $2,040.20 / $3,868.40	Professional		$1,499.80	$2,040.20	$3,868.40