Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,885.56 / $7,000.00	Facility		$1,017.00	$2,885.56	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.02 / $1,029.27 / $1,880.31	Professional		$849.02	$1,029.27	$1,880.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,346.02 / $17,704.66 / $24,947.49	Facility		$10,346.02	$17,704.66	$24,947.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $12,907.00 / $14,409.12	Facility		$996.00	$12,907.00	$14,409.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,002.38 / $1,481.87 / $2,127.16	Professional		$1,002.38	$1,481.87	$2,127.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,154.43 / $1,689.33 / $4,152.60	Professional		$1,154.43	$1,689.33	$4,152.60
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 $1,180.18 / $1,284.28 / $1,429.30	Professional		$1,180.18	$1,284.28	$1,429.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,616.21	Professional		$32.34	$32.34	$1,616.21
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 $961.21 / $1,312.03 / $2,235.09	Professional		$961.21	$1,312.03	$2,235.09