Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,762.47	Facility		$1,000.00	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,548.82	Professional		$537.03	$660.69	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $13,803.84	Facility		$4,073.80	$4,897.79	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,318.26	Professional		$616.60	$912.01	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,122.02 / $2,691.53	Professional		$660.69	$1,122.02	$2,691.53
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 $741.31 / $794.33 / $870.96	Professional		$741.31	$794.33	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $7,585.78	Facility		$1,513.56	$3,630.78	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,318.26	Professional		$562.34	$794.33	$1,318.26