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 $927.29 / $1,101.61 / $2,121.71	Professional		$927.29	$1,101.61	$2,121.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,723.09 / $14,380.96 / $28,797.87	Facility		$6,723.09	$14,380.96	$28,797.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,405.71 / $1,932.95 / $1,932.95	Professional		$1,405.71	$1,932.95	$1,932.95
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 $1,115.79 / $1,570.10 / $2,345.17	Professional		$1,115.79	$1,570.10	$2,345.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.19 / $1,843.07 / $5,693.75	Professional		$1,221.19	$1,843.07	$5,693.75
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 $1,292.80 / $1,379.12 / $1,511.95	Professional		$1,292.80	$1,379.12	$1,511.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,709.67	Professional		$32.34	$32.34	$1,709.67
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 $1,036.86 / $1,431.84 / $2,405.58	Professional		$1,036.86	$1,431.84	$2,405.58