Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,219.12 / $5,549.00	Facility		$1,017.00	$3,219.12	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.33 / $1,811.91 / $3,219.12	Professional		$1,403.33	$1,811.91	$3,219.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,893.08 / $23,300.72 / $46,659.69	Facility		$10,893.08	$23,300.72	$46,659.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,299.31 / $2,979.29 / $3,284.33	Professional		$2,299.31	$2,979.29	$3,284.33
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 $1,593.06 / $2,538.65 / $3,593.42	Professional		$1,593.06	$2,538.65	$3,593.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,857.63 / $2,919.53 / $6,711.74	Professional		$1,857.63	$2,919.53	$6,711.74
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 $1,861.76 / $2,232.58 / $2,578.32	Professional		$1,861.76	$2,232.58	$2,578.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,915.48	Professional		$32.34	$32.34	$2,915.48
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 $1,570.84 / $2,206.07 / $3,852.48	Professional		$1,570.84	$2,206.07	$3,852.48