Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,507.10 / $8,806.00	Facility		$1,272.00	$3,507.10	$8,806.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,386.09 / $1,457.49 / $2,842.67	Professional		$1,386.09	$1,457.49	$2,842.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,360.43 / $15,266.08 / $35,513.46	Facility		$7,360.43	$15,266.08	$35,513.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,857.02 / $2,488.39 / $2,825.82	Professional		$1,857.02	$2,488.39	$2,825.82
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 $1,527.12 / $2,238.16 / $3,368.28	Professional		$1,527.12	$2,238.16	$3,368.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,655.35 / $2,607.03 / $6,463.42	Professional		$1,655.35	$2,607.03	$6,463.42
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 $1,877.28 / $1,956.32 / $2,155.26	Professional		$1,877.28	$1,956.32	$2,155.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,486.84	Professional		$32.34	$32.34	$2,486.84
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 $1,579.62 / $2,171.31 / $3,414.95	Professional		$1,579.62	$2,171.31	$3,414.95