Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,274.00 / $9,691.00	Facility		$1,272.00	$3,274.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.25 / $1,444.90 / $2,747.73	Professional		$1,355.25	$1,444.90	$2,747.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,213.71 / $14,961.77 / $34,805.56	Facility		$7,213.71	$14,961.77	$34,805.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $1,383.00 / $1,434.00	Facility		$1,383.00	$1,383.00	$1,434.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,387.17 / $2,185.09 / $3,305.84	Professional		$1,387.17	$2,185.09	$3,305.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,613.18 / $2,489.38 / $7,888.67	Professional		$1,613.18	$2,489.38	$7,888.67
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 $1,849.25 / $1,906.49 / $2,104.17	Professional		$1,849.25	$1,906.49	$2,104.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,427.89	Professional		$32.34	$32.34	$2,427.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,538.94 / $2,197.10 / $3,339.74	Professional		$1,538.94	$2,197.10	$3,339.74