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 $824.44 / $999.92 / $1,822.92	Professional		$824.44	$999.92	$1,822.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $11,989.29 / $23,381.68	Facility		$8,538.45	$11,989.29	$23,381.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,014.34 / $1,402.59 / $1,708.49	Professional		$1,014.34	$1,402.59	$1,708.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $6,831.39 / $7,626.43	Facility		$1,383.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $999.78 / $1,438.26 / $2,062.35	Professional		$999.78	$1,438.26	$2,062.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,139.46 / $1,638.40 / $5,068.96	Professional		$1,139.46	$1,638.40	$5,068.96
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 $1,144.83 / $1,244.79 / $1,384.99	Professional		$1,144.83	$1,244.79	$1,384.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,566.11	Professional		$32.34	$32.34	$1,566.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,530.00 / $8,566.00	Facility		$1,600.00	$4,530.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $932.33 / $1,256.53 / $2,175.39	Professional		$932.33	$1,256.53	$2,175.39