Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $3,073.00 / $7,125.00	Facility		$1,207.00	$3,073.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,289.26 / $1,601.00 / $2,315.53	Professional		$1,289.26	$1,601.00	$2,315.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,188.88 / $13,820.98 / $30,145.30	Facility		$5,188.88	$13,820.98	$30,145.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,483.00 / $2,101.81 / $2,296.59	Professional		$1,483.00	$2,101.81	$2,296.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.99 / $1,718.73 / $2,510.03	Professional		$1,232.99	$1,718.73	$2,510.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,171.95 / $1,969.42 / $5,391.30	Professional		$1,171.95	$1,969.42	$5,391.30
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 $1,567.88 / $1,580.31 / $1,721.17	Professional		$1,567.88	$1,580.31	$1,721.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,946.25	Professional		$32.34	$32.34	$1,946.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,165.25 / $1,538.50 / $2,650.98	Professional		$1,165.25	$1,538.50	$2,650.98