Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.48 / $2,989.00 / $7,000.00	Facility		$993.48	$2,989.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.94 / $993.48 / $1,927.16	Professional		$857.94	$993.48	$1,927.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $11,299.41 / $23,231.07	Facility		$7,091.59	$11,299.41	$23,231.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,175.02 / $1,624.78 / $2,022.70	Professional		$1,175.02	$1,624.78	$2,022.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $5,676.58 / $6,337.22	Facility		$996.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.76 / $1,416.18 / $2,169.41	Professional		$1,011.76	$1,416.18	$2,169.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.58 / $1,647.72 / $8,276.21	Professional		$1,114.58	$1,647.72	$8,276.21
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 $1,215.07 / $1,252.65 / $1,363.73	Professional		$1,215.07	$1,252.65	$1,363.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,542.06	Professional		$32.34	$32.34	$1,542.06
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 $948.44 / $1,288.40 / $2,285.51	Professional		$948.44	$1,288.40	$2,285.51