Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $5,888.44	Facility		$1,000.00	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,659.59	Professional		$676.08	$851.14	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $10,471.29 / $16,982.44	Facility		$8,317.64	$10,471.29	$16,982.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,584.89	Professional		$933.25	$1,288.25	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,584.89	Professional		$660.69	$1,047.13	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $3,311.31	Professional		$758.58	$1,288.25	$3,311.31
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 $891.25 / $977.24 / $1,071.52	Professional		$891.25	$977.24	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $831.76	Professional		$32.36	$33.11	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,309.57 / $16,982.44	Facility		$2,570.40	$6,309.57	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,584.89	Professional		$660.69	$870.96	$1,584.89