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 $931.50 / $1,129.85 / $2,078.71	Professional		$931.50	$1,129.85	$2,078.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,895.40 / $14,749.52 / $29,535.91	Facility		$6,895.40	$14,749.52	$29,535.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,352.26 / $1,869.86 / $2,277.73	Professional		$1,352.26	$1,869.86	$2,277.73
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 $1,107.95 / $1,608.72 / $2,351.07	Professional		$1,107.95	$1,608.72	$2,351.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,267.60 / $1,855.49 / $4,576.37	Professional		$1,267.60	$1,855.49	$4,576.37
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 $1,295.41 / $1,410.60 / $1,569.43	Professional		$1,295.41	$1,410.60	$1,569.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,774.66	Professional		$32.34	$32.34	$1,774.66
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 $1,069.68 / $1,417.23 / $2,458.78	Professional		$1,069.68	$1,417.23	$2,458.78