Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,111.84 / $5,549.00	Facility		$1,017.00	$3,111.84	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,369.38 / $1,753.49 / $3,111.84	Professional		$1,369.38	$1,753.49	$3,111.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,450.42 / $22,353.84 / $44,763.56	Facility		$10,450.42	$22,353.84	$44,763.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,205.64 / $2,857.92 / $3,147.99	Professional		$2,205.64	$2,857.92	$3,147.99
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 $1,570.40 / $2,473.28 / $3,564.74	Professional		$1,570.40	$2,473.28	$3,564.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,829.46 / $2,830.01 / $7,607.24	Professional		$1,829.46	$2,830.01	$7,607.24
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 $1,771.25 / $2,139.90 / $2,473.29	Professional		$1,771.25	$2,139.90	$2,473.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,796.72	Professional		$32.34	$32.34	$2,796.72
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 $1,560.16 / $2,170.19 / $3,743.32	Professional		$1,560.16	$2,170.19	$3,743.32