Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.25 / $3,073.00 / $5,549.00	Facility		$579.25	$3,073.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.25 / $897.13 / $6,534.18	Professional		$579.25	$897.13	$6,534.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.78 / $10,216.95 / $13,180.78	Facility		$8,563.78	$10,216.95	$13,180.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,831.39 / $6,831.39 / $7,626.43	Facility		$6,831.39	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $985.97 / $985.97 / $1,237.81	Professional		$985.97	$985.97	$1,237.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.09 / $983.41 / $1,462.98	Professional		$676.09	$983.41	$1,462.98
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 $760.75 / $799.02 / $881.65	Professional		$760.75	$799.02	$881.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $644.92 / $978.93 / $1,613.43	Professional		$644.92	$978.93	$1,613.43