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 / $7,762.47	Facility		$1,000.00	$2,187.76	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,584.89	Professional		$537.03	$676.08	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $14,125.38	Facility		$2,089.30	$2,754.23	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,258.93	Professional		$758.58	$1,047.13	$1,258.93
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 $562.34 / $851.14 / $1,230.27	Professional		$562.34	$851.14	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $2,754.23	Professional		$660.69	$1,047.13	$2,754.23
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 $758.58 / $776.25 / $870.96	Professional		$758.58	$776.25	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $707.95	Professional		$32.36	$33.11	$707.95
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 / $724.44 / $1,230.27	Professional		$537.03	$724.44	$1,230.27