Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,766.34 / $5,549.00	Facility		$1,017.00	$2,766.34	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.64 / $1,555.52 / $2,766.34	Professional		$1,188.64	$1,555.52	$2,766.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,270.52 / $19,830.00 / $39,709.57	Facility		$9,270.52	$19,830.00	$39,709.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.16 / $2,195.56 / $2,794.16	Professional		$589.16	$2,195.56	$2,794.16
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 $1,391.01 / $2,195.55 / $3,161.54	Professional		$1,391.01	$2,195.55	$3,161.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,630.22 / $2,512.21 / $5,772.99	Professional		$1,630.22	$2,512.21	$5,772.99
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 $1,569.84 / $1,899.38 / $2,195.56	Professional		$1,569.84	$1,899.38	$2,195.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,482.67	Professional		$32.34	$32.34	$2,482.67
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,370.30 / $1,896.59 / $3,254.64	Professional		$1,370.30	$1,896.59	$3,254.64