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 $865.52 / $1,066.66 / $1,948.13	Professional		$865.52	$1,066.66	$1,948.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,509.73 / $13,924.56 / $27,883.93	Facility		$6,509.73	$13,924.56	$27,883.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,274.48 / $1,762.31 / $2,146.32	Professional		$1,274.48	$1,762.31	$2,146.32
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 $1,049.41 / $1,533.71 / $2,176.28	Professional		$1,049.41	$1,533.71	$2,176.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,194.70 / $1,748.42 / $4,902.34	Professional		$1,194.70	$1,748.42	$4,902.34
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 $1,221.55 / $1,329.21 / $1,479.15	Professional		$1,221.55	$1,329.21	$1,479.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,672.58	Professional		$32.34	$32.34	$1,672.58
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 $981.90 / $1,312.65 / $2,321.82	Professional		$981.90	$1,312.65	$2,321.82