Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.00 / $2,989.00 / $7,125.00	Facility		$1,207.00	$2,989.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.54 / $1,252.73 / $1,844.55	Professional		$865.54	$1,252.73	$1,844.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,833.72 / $11,469.87 / $26,183.77	Facility		$6,833.72	$11,469.87	$26,183.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,291.81 / $1,862.34 / $1,999.34	Professional		$1,291.81	$1,862.34	$1,999.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.62 / $1,541.69 / $2,166.27	Professional		$829.62	$1,541.69	$2,166.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,084.92 / $1,713.92 / $4,793.68	Professional		$1,084.92	$1,713.92	$4,793.68
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 $1,310.65 / $1,343.24 / $1,484.59	Professional		$1,310.65	$1,343.24	$1,484.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,712.99	Professional		$32.34	$32.34	$1,712.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,998.00 / $11,831.32	Facility		$2,100.00	$5,998.00	$11,831.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.19 / $1,424.55 / $2,438.63	Professional		$1,002.19	$1,424.55	$2,438.63