Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,636.00 / $7,780.00	Facility		$1,129.00	$3,636.00	$7,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.61 / $1,560.71 / $2,810.37	Professional		$693.61	$1,560.71	$2,810.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,070.62 / $9,602.95 / $17,331.27	Facility		$7,070.62	$9,602.95	$17,331.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.48 / $1,680.04 / $3,350.71	Professional		$893.48	$1,680.04	$3,350.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $7,744.38 / $8,645.67	Facility		$1,383.00	$7,744.38	$8,645.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.45 / $1,683.81 / $3,352.69	Professional		$787.45	$1,683.81	$3,352.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.51 / $2,163.61 / $3,101.80	Professional		$954.51	$2,163.61	$3,101.80
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 $923.27 / $954.51 / $2,293.94	Professional		$923.27	$954.51	$2,293.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,593.92	Professional		$32.34	$32.34	$2,593.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,733.81 / $2,518.56 / $4,461.52	Professional		$1,733.81	$2,518.56	$4,461.52