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 $691.83 / $870.96 / $1,778.28	Professional		$691.83	$870.96	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $18,197.01	Facility		$4,168.69	$5,128.61	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $1,659.59	Professional		$891.25	$1,348.96	$1,659.59
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 $724.44 / $1,071.52 / $1,621.81	Professional		$724.44	$1,071.52	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $3,311.31	Professional		$870.96	$1,380.38	$3,311.31
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 $977.24 / $1,023.29 / $1,148.15	Professional		$977.24	$1,023.29	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $891.25	Professional		$32.36	$33.11	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,691.53 / $5,128.61	Facility		$1,096.48	$2,691.53	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,584.89	Professional		$707.95	$933.25	$1,584.89