Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,864.59 / $5,549.00	Facility		$1,017.00	$2,864.59	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,277.89 / $1,574.94 / $2,864.59	Professional		$1,277.89	$1,574.94	$2,864.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,733.35 / $20,820.00 / $41,692.05	Facility		$9,733.35	$20,820.00	$41,692.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,858.06 / $2,407.55 / $2,756.46	Professional		$1,858.06	$2,407.55	$2,756.46
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 $1,502.02 / $2,163.66 / $3,235.17	Professional		$1,502.02	$2,163.66	$3,235.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,682.85 / $2,512.31 / $7,389.22	Professional		$1,682.85	$2,512.31	$7,389.22
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 $1,699.17 / $1,873.76 / $2,083.52	Professional		$1,699.17	$1,873.76	$2,083.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,355.98	Professional		$32.34	$32.34	$2,355.98
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,690.00 / $6,362.00	Facility		$800.00	$2,690.00	$6,362.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,467.96 / $2,163.58 / $3,488.78	Professional		$1,467.96	$2,163.58	$3,488.78