Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,165.60 / $5,549.00	Facility		$1,017.00	$2,165.60	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.78 / $1,198.74 / $2,165.60	Professional		$958.78	$1,198.74	$2,165.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,144.22 / $15,281.76 / $30,601.72	Facility		$7,144.22	$15,281.76	$30,601.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,696.26 / $2,197.90 / $4,522.72	Professional		$1,696.26	$2,197.90	$4,522.72
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 $1,152.47 / $1,900.88 / $2,604.40	Professional		$1,152.47	$1,900.88	$2,604.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,330.62 / $2,154.34 / $5,380.20	Professional		$1,330.62	$2,154.34	$5,380.20
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 $1,375.73 / $1,647.44 / $1,902.10	Professional		$1,375.73	$1,647.44	$1,902.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,150.83	Professional		$32.34	$32.34	$2,150.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $7,842.00 / $21,651.00	Facility		$2,421.00	$7,842.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,091.25 / $1,555.28 / $2,632.64	Professional		$1,091.25	$1,555.28	$2,632.64