Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.76 / $2,747.00 / $5,549.00	Facility		$1,007.76	$2,747.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.74 / $952.90 / $1,842.97	Professional		$836.74	$952.90	$1,842.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $12,037.44 / $23,565.11	Facility		$8,538.45	$12,037.44	$23,565.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,204.96 / $1,666.18 / $2,029.43	Professional		$1,204.96	$1,666.18	$2,029.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,831.39 / $7,626.43	Facility		$875.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.77 / $1,420.90 / $2,083.71	Professional		$971.77	$1,420.90	$2,083.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,129.54 / $1,691.88 / $4,607.14	Professional		$1,129.54	$1,691.88	$4,607.14
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 $1,153.58 / $1,256.83 / $1,398.48	Professional		$1,153.58	$1,256.83	$1,398.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,581.35	Professional		$32.34	$32.34	$1,581.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $934.89 / $1,199.51 / $2,166.19	Professional		$934.89	$1,199.51	$2,166.19