Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $7,762.47	Facility		$1,000.00	$2,041.74	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,621.81	Professional		$676.08	$831.76	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $9,120.11 / $17,782.79	Facility		$3,388.44	$9,120.11	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,412.54	Professional		$954.99	$1,148.15	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,659.59	Professional		$630.96	$1,047.13	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,479.11 / $3,715.35	Professional		$851.14	$1,479.11	$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 / $1,023.29 / $1,148.15	Professional		$891.25	$1,023.29	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $4,570.88	Facility		$707.95	$2,137.96	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,513.56	Professional		$691.83	$933.25	$1,513.56