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 $886.83 / $1,040.36 / $1,844.53	Professional		$886.83	$1,040.36	$1,844.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $11,469.87 / $24,327.46	Facility		$7,091.59	$11,469.87	$24,327.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,225.17 / $1,694.13 / $2,085.21	Professional		$1,225.17	$1,694.13	$2,085.21
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 $955.59 / $1,476.63 / $2,206.87	Professional		$955.59	$1,476.63	$2,206.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.93 / $1,738.40 / $5,365.96	Professional		$1,122.93	$1,738.40	$5,365.96
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 $1,234.86 / $1,291.38 / $1,421.94	Professional		$1,234.86	$1,291.38	$1,421.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,607.89	Professional		$32.34	$32.34	$1,607.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,619.00 / $12,241.00	Facility		$2,100.00	$5,619.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $989.04 / $1,377.48 / $2,222.06	Professional		$989.04	$1,377.48	$2,222.06