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 $712.76 / $855.65 / $1,560.15	Professional		$712.76	$855.65	$1,560.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,070.62 / $10,051.54 / $20,008.11	Facility		$7,070.62	$10,051.54	$20,008.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.71 / $1,407.26 / $1,721.21	Professional		$1,017.71	$1,407.26	$1,721.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $7,213.96 / $8,053.52	Facility		$1,383.00	$7,213.96	$8,053.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.38 / $1,212.39 / $1,775.83	Professional		$834.38	$1,212.39	$1,775.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $951.26 / $1,393.93 / $4,417.00	Professional		$951.26	$1,393.93	$4,417.00
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 $993.53 / $1,065.95 / $1,181.15	Professional		$993.53	$1,065.95	$1,181.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,335.61	Professional		$32.34	$32.34	$1,335.61
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 $792.53 / $1,060.01 / $1,862.23	Professional		$792.53	$1,060.01	$1,862.23