Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,784.00 / $6,661.00	Facility		$1,017.00	$2,784.00	$6,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.63 / $1,145.08 / $2,095.96	Professional		$943.63	$1,145.08	$2,095.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,988.30 / $14,948.24 / $29,933.85	Facility		$6,988.30	$14,948.24	$29,933.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,368.75 / $1,892.66 / $2,305.12	Professional		$1,368.75	$1,892.66	$2,305.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.79 / $1,647.18 / $2,383.38	Professional		$1,115.79	$1,647.18	$2,383.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.07 / $1,877.79 / $5,795.16	Professional		$1,283.07	$1,877.79	$5,795.16
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 $1,309.92 / $1,427.56 / $1,588.56	Professional		$1,309.92	$1,427.56	$1,588.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,796.30	Professional		$32.34	$32.34	$1,796.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,087.05 / $1,442.77 / $2,493.32	Professional		$1,087.05	$1,442.77	$2,493.32