Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,989.00 / $7,000.00	Facility		$1,017.00	$2,989.00	$7,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.86 / $1,063.04 / $1,940.86	Professional		$876.86	$1,063.04	$1,940.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $12,420.16 / $24,857.67	Facility		$8,538.45	$12,420.16	$24,857.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $9,700.03 / $10,828.92	Facility		$996.00	$9,700.03	$10,828.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,064.07 / $1,531.26 / $2,196.40	Professional		$1,064.07	$1,531.26	$2,196.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,204.98 / $1,743.04 / $4,284.80	Professional		$1,204.98	$1,743.04	$4,284.80
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 $1,218.89 / $1,325.12 / $1,474.54	Professional		$1,218.89	$1,325.12	$1,474.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,667.36	Professional		$32.34	$32.34	$1,667.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,272.00 / $8,168.00	Facility		$1,690.00	$5,272.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.08 / $1,348.40 / $2,314.12	Professional		$992.08	$1,348.40	$2,314.12