Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,221.00 / $8,806.00	Facility		$1,017.00	$3,221.00	$8,806.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.78 / $763.44 / $1,153.55	Professional		$597.78	$763.44	$1,153.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,164.60 / $8,841.42 / $15,956.88	Facility		$4,164.60	$8,841.42	$15,956.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.43 / $1,125.10 / $1,206.54	Professional		$780.43	$1,125.10	$1,206.54
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 $564.86 / $931.39 / $1,322.39	Professional		$564.86	$931.39	$1,322.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $685.89 / $1,055.58 / $2,957.34	Professional		$685.89	$1,055.58	$2,957.34
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 $796.45 / $810.60 / $896.90	Professional		$796.45	$810.60	$896.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,034.88	Professional		$32.34	$32.34	$1,034.88
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 $625.71 / $938.12 / $1,607.88	Professional		$625.71	$938.12	$1,607.88