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 $946.77 / $1,148.80 / $2,112.98	Professional		$946.77	$1,148.80	$2,112.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,011.00 / $14,996.80 / $30,031.09	Facility		$7,011.00	$14,996.80	$30,031.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,374.24 / $1,900.26 / $2,314.64	Professional		$1,374.24	$1,900.26	$2,314.64
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 $1,122.07 / $1,653.99 / $2,370.29	Professional		$1,122.07	$1,653.99	$2,370.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,287.17 / $1,885.55 / $5,827.76	Professional		$1,287.17	$1,885.55	$5,827.76
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 $1,315.46 / $1,433.46 / $1,594.94	Professional		$1,315.46	$1,433.46	$1,594.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,803.51	Professional		$32.34	$32.34	$1,803.51
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 $1,041.17 / $1,461.86 / $2,515.60	Professional		$1,041.17	$1,461.86	$2,515.60