Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $5,888.44	Facility		$1,000.00	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,513.56	Professional		$562.34	$691.83	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $14,454.40	Facility		$2,089.30	$2,754.23	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,288.25	Professional		$776.25	$1,071.52	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,288.25	Professional		$588.84	$870.96	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $2,630.27	Professional		$676.08	$1,071.52	$2,630.27
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 $776.25 / $794.33 / $891.25	Professional		$776.25	$794.33	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $724.44	Professional		$32.36	$33.11	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $4,786.30	Facility		$1,096.48	$2,290.87	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,230.27	Professional		$537.03	$741.31	$1,230.27