Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,836.00 / $7,125.00	Facility		$1,017.00	$2,836.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,156.39 / $1,464.59 / $2,692.33	Professional		$1,156.39	$1,464.59	$2,692.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,728.62 / $15,333.46 / $33,444.21	Facility		$8,728.62	$15,333.46	$33,444.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,823.25 / $2,362.44 / $2,653.31	Professional		$1,823.25	$2,362.44	$2,653.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $10,710.00 / $17,537.00	Facility		$1,855.00	$10,710.00	$17,537.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,385.39 / $2,081.12 / $2,988.10	Professional		$1,385.39	$2,081.12	$2,988.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,620.99 / $2,372.46 / $7,349.58	Professional		$1,620.99	$2,372.46	$7,349.58
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 $1,566.03 / $1,803.63 / $2,044.48	Professional		$1,566.03	$1,803.63	$2,044.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,311.84	Professional		$32.34	$32.34	$2,311.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $7,400.00 / $17,033.00	Facility		$2,575.00	$7,400.00	$17,033.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,357.26 / $1,947.34 / $3,230.51	Professional		$1,357.26	$1,947.34	$3,230.51