Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.78 / $3,221.00 / $8,806.00	Facility		$1,142.78	$3,221.00	$8,806.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,116.14 / $1,190.51 / $2,266.55	Professional		$1,116.14	$1,190.51	$2,266.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $12,320.43 / $28,661.00	Facility		$7,091.59	$12,320.43	$28,661.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,495.63 / $2,004.13 / $3,007.42	Professional		$1,495.63	$2,004.13	$3,007.42
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 $1,155.66 / $1,802.59 / $2,728.73	Professional		$1,155.66	$1,802.59	$2,728.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,330.44 / $2,051.00 / $5,219.27	Professional		$1,330.44	$2,051.00	$5,219.27
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 $1,523.60 / $1,572.34 / $1,735.83	Professional		$1,523.60	$1,572.34	$1,735.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,002.88	Professional		$32.34	$32.34	$2,002.88
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 $1,270.91 / $1,757.52 / $3,179.98	Professional		$1,270.91	$1,757.52	$3,179.98