Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,440.00 / $5,150.00	Facility		$1,300.00	$2,440.00	$5,150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.00 / $1,300.00 / $1,765.00	Professional		$1,080.00	$1,300.00	$1,765.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,347.32 / $5,016.45 / $26,486.15	Facility		$2,347.32	$5,016.45	$26,486.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.66 / $326.56 / $2,034.57	Professional		$92.66	$326.56	$2,034.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.54 / $1,278.00 / $1,659.78	Facility		$482.54	$1,278.00	$1,659.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.05 / $620.00 / $966.92	Professional		$294.05	$620.00	$966.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,162.60 / $1,846.84 / $2,953.29	Professional		$1,162.60	$1,846.84	$2,953.29
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 $1,511.39 / $1,556.15 / $1,722.05	Professional		$1,511.39	$1,556.15	$1,722.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $68.03 / $2,500.00	Professional		$32.34	$68.03	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.44 / $1,589.78 / $2,776.70	Professional		$618.44	$1,589.78	$2,776.70