Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,784.00 / $6,661.00	Facility		$1,017.00	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.13 / $1,088.47 / $2,095.19	Professional		$924.13	$1,088.47	$2,095.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,642.80 / $14,209.20 / $28,453.92	Facility		$6,642.80	$14,209.20	$28,453.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,164.98 / $1,727.53 / $2,183.23	Professional		$1,164.98	$1,727.53	$2,183.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.29 / $1,545.63 / $2,358.50	Professional		$971.29	$1,545.63	$2,358.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,144.07 / $1,774.61 / $5,101.55	Professional		$1,144.07	$1,774.61	$5,101.55
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 $1,291.76 / $1,352.08 / $1,488.38	Professional		$1,291.76	$1,352.08	$1,488.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,690.88	Professional		$32.34	$32.34	$1,690.88
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 $1,016.96 / $1,446.24 / $2,371.96	Professional		$1,016.96	$1,446.24	$2,371.96