Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $2,801.97 / $7,780.00	Facility		$1,048.00	$2,801.97	$7,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $846.73 / $1,098.33 / $1,962.34	Professional		$846.73	$1,098.33	$1,962.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $10,791.55 / $21,736.89	Facility		$7,091.59	$10,791.55	$21,736.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.93 / $1,883.77 / $2,381.02	Professional		$1,095.93	$1,883.77	$2,381.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $8,217.02 / $9,173.31	Facility		$1,383.00	$8,217.02	$9,173.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.27 / $1,467.62 / $2,214.55	Professional		$942.27	$1,467.62	$2,214.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,156.15 / $1,758.13 / $3,948.83	Professional		$1,156.15	$1,758.13	$3,948.83
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 $1,133.48 / $1,166.61 / $1,617.37	Professional		$1,133.48	$1,166.61	$1,617.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,828.87	Professional		$32.34	$32.34	$1,828.87
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 $1,083.60 / $1,468.97 / $2,649.19	Professional		$1,083.60	$1,468.97	$2,649.19