Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $5,888.44	Facility		$1,000.00	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,659.59	Professional		$660.69	$794.33	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,128.61 / $15,848.93	Facility		$4,265.80	$5,128.61	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,202.26	Professional		$870.96	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,548.82	Professional		$676.08	$1,023.29	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $3,311.31	Professional		$776.25	$1,230.27	$3,311.31
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 $891.25 / $912.01 / $1,000.00	Professional		$891.25	$912.01	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $7,585.78	Facility		$1,513.56	$3,630.78	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,548.82	Professional		$660.69	$891.25	$1,548.82