Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,901.43 / $7,000.00	Facility		$1,017.00	$2,901.43	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.26 / $1,034.54 / $2,023.38	Professional		$853.26	$1,034.54	$2,023.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,399.06 / $22,045.68 / $31,315.36	Facility		$10,399.06	$22,045.68	$31,315.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,238.47 / $1,712.52 / $2,085.17	Professional		$1,238.47	$1,712.52	$2,085.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $27,312.46 / $30,491.08	Facility		$996.00	$27,312.46	$30,491.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,007.11 / $1,483.29 / $2,137.46	Professional		$1,007.11	$1,483.29	$2,137.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,160.95 / $1,698.61 / $4,172.52	Professional		$1,160.95	$1,698.61	$4,172.52
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 $1,185.99 / $1,291.33 / $1,437.37	Professional		$1,185.99	$1,291.33	$1,437.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,625.33	Professional		$32.34	$32.34	$1,625.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $8,100.00 / $21,651.00	Facility		$2,600.00	$8,100.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $966.19 / $1,318.95 / $2,253.39	Professional		$966.19	$1,318.95	$2,253.39