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 / $9,332.54	Facility		$1,000.00	$2,884.03	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,258.93	Professional		$457.09	$575.44	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $12,022.64	Facility		$4,073.80	$4,897.79	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,122.02	Professional		$660.69	$912.01	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $9,772.37 / $10,000.00	Facility		$3,090.30	$9,772.37	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,122.02	Professional		$489.78	$741.31	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $2,511.89	Professional		$588.84	$954.99	$2,511.89
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 $645.65 / $691.83 / $776.25	Professional		$645.65	$691.83	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,165.95 / $14,125.38	Facility		$2,570.40	$6,165.95	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,122.02	Professional		$489.78	$645.65	$1,122.02