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 $1,341.46 / $1,692.89 / $2,442.48	Professional		$1,341.46	$1,692.89	$2,442.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,188.88 / $14,585.92 / $31,813.74	Facility		$5,188.88	$14,585.92	$31,813.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,555.09 / $2,203.98 / $2,403.69	Professional		$1,555.09	$2,203.98	$2,403.69
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 $1,278.83 / $1,777.07 / $2,574.94	Professional		$1,278.83	$1,777.07	$2,574.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,226.36 / $2,038.04 / $5,496.49	Professional		$1,226.36	$2,038.04	$5,496.49
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 $1,646.75 / $1,654.00 / $1,804.84	Professional		$1,646.75	$1,654.00	$1,804.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,040.86	Professional		$32.34	$32.34	$2,040.86
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 $1,193.96 / $1,594.16 / $2,751.91	Professional		$1,193.96	$1,594.16	$2,751.91