Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,148.00 / $8,125.00	Facility		$1,017.00	$3,148.00	$8,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.17 / $834.24 / $1,622.52	Professional		$720.17	$834.24	$1,622.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,070.62 / $9,964.70 / $19,507.41	Facility		$7,070.62	$9,964.70	$19,507.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $5,676.58 / $6,337.22	Facility		$1,383.00	$5,676.58	$6,337.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.37 / $1,190.59 / $1,807.70	Professional		$860.37	$1,190.59	$1,807.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $968.76 / $1,400.56 / $3,453.55	Professional		$968.76	$1,400.56	$3,453.55
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 $1,018.28 / $1,054.64 / $1,146.51	Professional		$1,018.28	$1,054.64	$1,146.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,296.44	Professional		$32.34	$32.34	$1,296.44
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 $802.35 / $1,095.55 / $1,934.59	Professional		$802.35	$1,095.55	$1,934.59