Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $5,888.44	Facility		$1,000.00	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,445.44	Professional		$537.03	$660.69	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $14,125.38	Facility		$4,073.80	$5,011.87	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,318.26	Professional		$575.44	$870.96	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $2,818.38	Professional		$691.83	$1,096.48	$2,818.38
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 $758.58 / $812.83 / $912.01	Professional		$758.58	$812.83	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $691.83	Professional		$32.36	$33.11	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,318.26	Professional		$575.44	$758.58	$1,318.26