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 $882.10 / $1,073.42 / $1,979.77	Professional		$882.10	$1,073.42	$1,979.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,550.94 / $14,012.72 / $28,060.47	Facility		$6,550.94	$14,012.72	$28,060.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,280.32 / $1,770.39 / $2,157.48	Professional		$1,280.32	$1,770.39	$2,157.48
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 $1,077.31 / $1,543.09 / $2,274.44	Professional		$1,077.31	$1,543.09	$2,274.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.31 / $1,798.63 / $4,349.99	Professional		$1,219.31	$1,798.63	$4,349.99
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 $1,216.72 / $1,336.13 / $1,485.94	Professional		$1,216.72	$1,336.13	$1,485.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,680.25	Professional		$32.34	$32.34	$1,680.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,619.00 / $12,241.00	Facility		$2,100.00	$5,619.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.01 / $1,424.82 / $2,359.69	Professional		$1,028.01	$1,424.82	$2,359.69