Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $10,000.00	Facility		$1,122.02	$4,168.69	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,344.23	Professional		$851.14	$1,096.48	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $21,379.62	Facility		$8,912.51	$10,715.19	$21,379.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $1,995.26	Professional		$1,174.90	$1,621.81	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,041.74	Professional		$954.99	$1,380.38	$2,041.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $4,786.30	Professional		$1,047.13	$1,659.59	$4,786.30
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 $1,122.02 / $1,230.27 / $1,348.96	Professional		$1,122.02	$1,230.27	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,023.29	Professional		$32.36	$33.11	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,309.57 / $16,982.44	Facility		$2,570.40	$6,309.57	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,995.26	Professional		$870.96	$1,202.26	$1,995.26