Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,762.47	Facility		$1,000.00	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,412.54	Professional		$537.03	$660.69	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,471.29 / $14,454.40	Facility		$6,760.83	$10,471.29	$14,454.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,258.93	Professional		$758.58	$1,047.13	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,288.25	Professional		$575.44	$851.14	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $2,691.53	Professional		$660.69	$1,047.13	$2,691.53
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 $741.31 / $794.33 / $870.96	Professional		$741.31	$794.33	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,495.41 / $9,772.37	Facility		$1,778.28	$5,495.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,258.93	Professional		$549.54	$724.44	$1,258.93