Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.24 / $2,989.00 / $7,123.00	Facility		$1,005.24	$2,989.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.57 / $1,019.20 / $1,747.20	Professional		$902.57	$1,019.20	$1,747.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,090.61 / $9,861.53 / $19,461.39	Facility		$4,090.61	$9,861.53	$19,461.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,029.83 / $1,360.63 / $1,681.20	Professional		$1,029.83	$1,360.63	$1,681.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $1,033.00 / $5,676.58	Facility		$659.00	$1,033.00	$5,676.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.90 / $1,333.26 / $2,004.65	Professional		$847.90	$1,333.26	$2,004.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,004.18 / $1,591.18 / $5,335.17	Professional		$1,004.18	$1,591.18	$5,335.17
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 $1,171.92 / $1,216.79 / $1,353.25	Professional		$1,171.92	$1,216.79	$1,353.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,530.21	Professional		$32.34	$32.34	$1,530.21
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 $937.30 / $1,285.53 / $2,168.50	Professional		$937.30	$1,285.53	$2,168.50