Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.00 / $3,221.00 / $8,806.00	Facility		$1,272.00	$3,221.00	$8,806.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.94 / $1,256.75 / $1,771.53	Professional		$1,018.94	$1,256.75	$1,771.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,773.65 / $8,324.90 / $26,799.95	Facility		$2,773.65	$8,324.90	$26,799.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,100.64 / $2,100.64 / $2,100.64	Professional		$2,100.64	$2,100.64	$2,100.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,140.00 / $14,000.00 / $19,116.00	Facility		$7,140.00	$14,000.00	$19,116.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,161.30 / $1,610.44 / $2,230.75	Professional		$1,161.30	$1,610.44	$2,230.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.28 / $1,670.09 / $6,190.16	Professional		$1,174.28	$1,670.09	$6,190.16
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 $1,222.29 / $1,387.79 / $1,550.80	Professional		$1,222.29	$1,387.79	$1,550.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,753.59	Professional		$32.34	$32.34	$1,753.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,135.38 / $1,545.12 / $2,660.20	Professional		$1,135.38	$1,545.12	$2,660.20