Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.89 / $2,989.00 / $7,123.00	Facility		$1,000.89	$2,989.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.69 / $1,000.89 / $1,790.45	Professional		$885.69	$1,000.89	$1,790.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,876.24 / $6,287.99 / $19,377.31	Facility		$3,876.24	$6,287.99	$19,377.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,134.58 / $1,355.47 / $1,681.47	Professional		$1,134.58	$1,355.47	$1,681.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $1,033.00 / $2,713.32	Facility		$659.00	$1,033.00	$2,713.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.59 / $1,348.11 / $2,068.94	Professional		$901.59	$1,348.11	$2,068.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.75 / $1,591.44 / $5,877.73	Professional		$1,029.75	$1,591.44	$5,877.73
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 $1,132.08 / $1,216.98 / $1,348.10	Professional		$1,132.08	$1,216.98	$1,348.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,524.39	Professional		$32.34	$32.34	$1,524.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,820.00 / $12,241.00	Facility		$1,300.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $944.22 / $1,284.28 / $2,216.23	Professional		$944.22	$1,284.28	$2,216.23