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 $1,114.70 / $1,366.51 / $2,089.27	Professional		$1,114.70	$1,366.51	$2,089.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,188.88 / $11,884.86 / $25,922.39	Facility		$5,188.88	$11,884.86	$25,922.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,294.51 / $1,834.68 / $2,012.00	Professional		$1,294.51	$1,834.68	$2,012.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,401.73 / $4,569.72 / $5,475.05	Professional		$1,401.73	$4,569.72	$5,475.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,064.98 / $1,810.47 / $3,010.77	Professional		$1,064.98	$1,810.47	$3,010.77
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 $1,363.88 / $1,384.47 / $1,502.41	Professional		$1,363.88	$1,384.47	$1,502.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,698.88	Professional		$32.34	$32.34	$1,698.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,803.00 / $8,995.00	Facility		$1,600.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,070.10 / $1,386.95 / $2,554.94	Professional		$1,070.10	$1,386.95	$2,554.94