Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.11 / $2,704.36 / $7,265.00	Facility		$1,516.11	$2,704.36	$7,265.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.94 / $1,516.11 / $3,092.74	Professional		$1,158.94	$1,516.11	$3,092.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,035.65 / $19,327.59 / $38,703.51	Facility		$9,035.65	$19,327.59	$38,703.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,906.70 / $2,470.58 / $2,724.26	Professional		$1,906.70	$2,470.58	$2,724.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $908.00 / $39,621.00	Facility		$875.00	$908.00	$39,621.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.17 / $2,220.30 / $3,024.09	Professional		$909.17	$2,220.30	$3,024.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,484.59 / $2,435.91 / $11,592.47	Professional		$1,484.59	$2,435.91	$11,592.47
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 $1,528.74 / $1,851.86 / $2,138.07	Professional		$1,528.74	$1,851.86	$2,138.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,467.01	Professional		$32.34	$32.34	$2,467.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $7,400.00 / $14,716.00	Facility		$1,520.00	$7,400.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,213.79 / $2,154.56 / $3,691.07	Professional		$1,213.79	$2,154.56	$3,691.07