Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,118.14 / $3,221.00 / $8,806.00	Facility		$1,118.14	$3,221.00	$8,806.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.91 / $1,146.22 / $2,214.52	Professional		$1,091.91	$1,146.22	$2,214.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $12,054.81 / $28,043.09	Facility		$7,091.59	$12,054.81	$28,043.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,462.64 / $1,959.92 / $2,220.79	Professional		$1,462.64	$1,959.92	$2,220.79
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 $1,118.16 / $1,762.83 / $2,657.83	Professional		$1,118.16	$1,762.83	$2,657.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,300.93 / $2,008.20 / $5,811.46	Professional		$1,300.93	$2,008.20	$5,811.46
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 $1,491.80 / $1,537.46 / $1,697.54	Professional		$1,491.80	$1,537.46	$1,697.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,958.70	Professional		$32.34	$32.34	$1,958.70
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 $1,241.07 / $1,771.33 / $2,690.02	Professional		$1,241.07	$1,771.33	$2,690.02