Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $3,270.00 / $7,780.00	Facility		$1,048.00	$3,270.00	$7,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.54 / $2,096.16 / $4,167.54	Professional		$612.54	$2,096.16	$4,167.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,564.34 / $8,525.12 / $15,270.62	Facility		$6,564.34	$8,525.12	$15,270.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $785.88 / $2,309.86 / $4,814.76	Professional		$785.88	$2,309.86	$4,814.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $7,194.87 / $8,032.21	Facility		$1,383.00	$7,194.87	$8,032.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.36 / $1,665.47 / $4,841.95	Professional		$721.36	$1,665.47	$4,841.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $906.19 / $3,325.84 / $5,096.78	Professional		$906.19	$3,325.84	$5,096.78
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 $812.15 / $841.46 / $3,312.91	Professional		$812.15	$841.46	$3,312.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,746.13	Professional		$32.34	$32.34	$3,746.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $3,715.00 / $6,625.00	Facility		$1,600.00	$3,715.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,552.54 / $3,637.33 / $6,080.30	Professional		$2,552.54	$3,637.33	$6,080.30