Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,989.00 / $7,000.00	Facility		$1,017.00	$2,989.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.22 / $1,090.43 / $2,089.96	Professional		$898.22	$1,090.43	$2,089.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,960.73 / $17,704.66 / $25,497.94	Facility		$10,960.73	$17,704.66	$25,497.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,302.63 / $1,801.23 / $2,193.56	Professional		$1,302.63	$1,801.23	$2,193.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $18,995.09 / $21,205.75	Facility		$996.00	$18,995.09	$21,205.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,064.10 / $1,549.97 / $2,261.11	Professional		$1,064.10	$1,549.97	$2,261.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,221.09 / $1,786.92 / $4,393.46	Professional		$1,221.09	$1,786.92	$4,393.46
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 $1,246.08 / $1,358.47 / $1,511.84	Professional		$1,246.08	$1,358.47	$1,511.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,709.54	Professional		$32.34	$32.34	$1,709.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $6,359.00 / $12,241.00	Facility		$2,100.00	$6,359.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.33 / $1,382.24 / $2,373.96	Professional		$1,017.33	$1,382.24	$2,373.96