Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,043.78 / $3,274.00 / $9,691.00	Facility		$1,043.78	$3,274.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.37 / $1,035.03 / $2,347.41	Professional		$863.37	$1,035.03	$2,347.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,070.62 / $10,239.73 / $20,493.75	Facility		$7,070.62	$10,239.73	$20,493.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.45 / $427.00 / $1,209.45	Professional		$324.45	$427.00	$1,209.45
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 $954.41 / $1,324.41 / $1,968.40	Professional		$954.41	$1,324.41	$1,968.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.76 / $1,620.60 / $4,436.92	Professional		$1,018.76	$1,620.60	$4,436.92
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 $1,188.19 / $1,276.83 / $1,415.15	Professional		$1,188.19	$1,276.83	$1,415.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,632.87	Professional		$32.34	$32.34	$1,632.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,978.00 / $12,241.00	Facility		$2,100.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $926.31 / $1,318.04 / $2,280.46	Professional		$926.31	$1,318.04	$2,280.46