Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $5,888.44	Facility		$1,000.00	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,584.89	Professional		$707.95	$831.76	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $12,589.25	Facility		$1,318.26	$2,344.23	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,548.82	Professional		$851.14	$1,023.29	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,288.25 / $1,288.25	Facility		$398.11	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $977.24 / $1,659.59	Professional		$562.34	$977.24	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,348.96 / $3,715.35	Professional		$741.31	$1,348.96	$3,715.35
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 $891.25 / $933.25 / $1,023.29	Professional		$891.25	$933.25	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $4,677.35	Facility		$891.25	$2,238.72	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,548.82	Professional		$707.95	$933.25	$1,548.82