Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,989.00 / $7,407.00	Facility		$1,017.00	$2,989.00	$7,407.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.32 / $1,051.61 / $2,426.75	Professional		$925.32	$1,051.61	$2,426.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,267.37 / $13,406.16 / $26,845.83	Facility		$6,267.37	$13,406.16	$26,845.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,024.02 / $2,622.59 / $2,878.94	Professional		$2,024.02	$2,622.59	$2,878.94
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 $1,167.26 / $1,920.45 / $2,816.45	Professional		$1,167.26	$1,920.45	$2,816.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,505.39 / $2,559.16 / $8,753.19	Professional		$1,505.39	$2,559.16	$8,753.19
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 $1,568.33 / $1,957.01 / $2,269.62	Professional		$1,568.33	$1,957.01	$2,269.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,618.79	Professional		$32.34	$32.34	$2,618.79
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,873.00 / $7,384.00	Facility		$785.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,091.29 / $1,513.23 / $2,457.26	Professional		$1,091.29	$1,513.23	$2,457.26