Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,715.35 / $10,000.00	Facility		$1,122.02	$3,715.35	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,951.21	Professional		$977.24	$1,258.93	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $18,620.87 / $26,302.68	Facility		$12,022.64	$18,620.87	$26,302.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,290.87	Professional		$1,348.96	$1,862.09	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $2,344.23	Professional		$1,023.29	$1,548.82	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $6,309.57	Professional		$1,202.26	$1,949.84	$6,309.57
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 $1,318.26 / $1,412.54 / $1,584.89	Professional		$1,318.26	$1,412.54	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,202.26	Professional		$32.36	$33.11	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,606.93 / $12,882.50	Facility		$2,137.96	$6,606.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,290.87	Professional		$1,000.00	$1,348.96	$2,290.87