Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.58 / $2,989.00 / $6,180.00	Facility		$1,042.58	$2,989.00	$6,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.15 / $897.36 / $1,528.34	Professional		$512.15	$897.36	$1,528.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,133.97 / $10,481.11 / $23,502.63	Facility		$6,133.97	$10,481.11	$23,502.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $958.93 / $1,716.37 / $1,759.59	Professional		$958.93	$1,716.37	$1,759.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.29 / $1,127.47 / $1,565.75	Professional		$763.29	$1,127.47	$1,565.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $781.95 / $1,191.54 / $2,750.21	Professional		$781.95	$1,191.54	$2,750.21
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 $833.20 / $968.12 / $1,085.71	Professional		$833.20	$968.12	$1,085.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,227.69	Professional		$32.34	$32.34	$1,227.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $735.11 / $926.25 / $1,907.69	Professional		$735.11	$926.25	$1,907.69