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 $921.14 / $1,118.13 / $2,053.69	Professional		$921.14	$1,118.13	$2,053.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,239.22 / $17,704.66 / $26,145.80	Facility		$11,239.22	$17,704.66	$26,145.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,334.53 / $1,845.35 / $2,248.14	Professional		$1,334.53	$1,845.35	$2,248.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $17,470.56 / $19,503.79	Facility		$996.00	$17,470.56	$19,503.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.60 / $1,606.47 / $2,321.61	Professional		$1,088.60	$1,606.47	$2,321.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,251.00 / $1,834.42 / $4,484.01	Professional		$1,251.00	$1,834.42	$4,484.01
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 $1,277.28 / $1,392.27 / $1,548.86	Professional		$1,277.28	$1,392.27	$1,548.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,751.40	Professional		$32.34	$32.34	$1,751.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,009.18 / $1,412.92 / $2,439.23	Professional		$1,009.18	$1,412.92	$2,439.23