Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,025.34 / $3,073.00 / $7,780.00	Facility		$1,025.34	$3,073.00	$7,780.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.78 / $1,025.34 / $1,885.05	Professional		$851.78	$1,025.34	$1,885.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $11,469.87 / $23,976.23	Facility		$7,091.59	$11,469.87	$23,976.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,215.24 / $1,680.40 / $1,925.91	Professional		$1,215.24	$1,680.40	$1,925.91
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 $963.71 / $1,444.36 / $2,100.91	Professional		$963.71	$1,444.36	$2,100.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,099.69 / $1,665.32 / $4,112.75	Professional		$1,099.69	$1,665.32	$4,112.75
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 $1,179.80 / $1,273.48 / $1,410.41	Professional		$1,179.80	$1,273.48	$1,410.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,594.85	Professional		$32.34	$32.34	$1,594.85
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 $938.63 / $1,262.79 / $2,246.85	Professional		$938.63	$1,262.79	$2,246.85