Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,018.79 / $2,800.00 / $6,180.00	Facility		$1,018.79	$2,800.00	$6,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.81 / $1,018.79 / $1,873.65	Professional		$839.81	$1,018.79	$1,873.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,240.62 / $17,704.66 / $24,947.49	Facility		$10,240.62	$17,704.66	$24,947.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,219.69 / $1,686.55 / $2,054.02	Professional		$1,219.69	$1,686.55	$2,054.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $9,841.00 / $21,092.01	Facility		$875.00	$9,841.00	$21,092.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $999.53 / $1,467.75 / $2,119.80	Professional		$999.53	$1,467.75	$2,119.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,159.15 / $1,693.72 / $4,141.72	Professional		$1,159.15	$1,693.72	$4,141.72
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 $1,167.89 / $1,272.05 / $1,415.57	Professional		$1,167.89	$1,272.05	$1,415.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,600.68	Professional		$32.34	$32.34	$1,600.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,612.00 / $14,468.00	Facility		$2,600.00	$7,612.00	$14,468.00
United Facility/Professional Professional Modifier Low / Median / High Price $943.80 / $1,289.64 / $2,231.91	Professional		$943.80	$1,289.64	$2,231.91