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 / $8,806.00	Facility		$1,272.00	$3,274.00	$8,806.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,324.24 / $1,433.20 / $2,818.82	Professional		$1,324.24	$1,433.20	$2,818.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,225.80 / $14,523.86 / $33,786.83	Facility		$4,225.80	$14,523.86	$33,786.83
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 $1,572.45 / $2,138.63 / $3,167.51	Professional		$1,572.45	$2,138.63	$3,167.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,587.42 / $2,491.11 / $7,401.51	Professional		$1,587.42	$2,491.11	$7,401.51
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 $1,766.67 / $1,876.04 / $2,059.42	Professional		$1,766.67	$1,876.04	$2,059.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,376.26	Professional		$32.34	$32.34	$2,376.26
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 $1,550.66 / $2,104.83 / $3,361.13	Professional		$1,550.66	$2,104.83	$3,361.13