Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,270.00 / $10,073.00	Facility		$1,017.00	$3,270.00	$10,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.15 / $952.99 / $1,499.47	Professional		$730.15	$952.99	$1,499.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,198.67 / $9,952.54 / $19,918.98	Facility		$5,198.67	$9,952.54	$19,918.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $900.42 / $1,440.63 / $1,540.24	Professional		$900.42	$1,440.63	$1,540.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $1,383.00 / $1,434.00	Facility		$1,383.00	$1,383.00	$1,434.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.68 / $1,192.58 / $1,690.40	Professional		$863.68	$1,192.58	$1,690.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $875.59 / $1,353.18 / $4,165.27	Professional		$875.59	$1,353.18	$4,165.27
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 $975.10 / $1,034.79 / $1,148.42	Professional		$975.10	$1,034.79	$1,148.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,325.10	Professional		$32.34	$32.34	$1,325.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $802.14 / $1,128.44 / $1,899.12	Professional		$802.14	$1,128.44	$1,899.12