Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,836.00 / $7,123.00	Facility		$1,159.00	$2,836.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,146.68 / $1,314.55 / $2,411.87	Professional		$1,146.68	$1,314.55	$2,411.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,864.77 / $14,126.35 / $30,811.36	Facility		$8,864.77	$14,126.35	$30,811.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,608.01 / $2,201.88 / $2,554.61	Professional		$1,608.01	$2,201.88	$2,554.61
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 $1,363.50 / $1,909.66 / $2,762.38	Professional		$1,363.50	$1,909.66	$2,762.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.28 / $2,249.98 / $5,749.56	Professional		$1,414.28	$2,249.98	$5,749.56
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 $1,522.55 / $1,671.42 / $1,838.93	Professional		$1,522.55	$1,671.42	$1,838.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,121.84	Professional		$32.34	$32.34	$2,121.84
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 $1,378.98 / $1,950.37 / $3,360.02	Professional		$1,378.98	$1,950.37	$3,360.02