Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,800.00 / $6,180.00	Facility		$1,017.00	$2,800.00	$6,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.28 / $662.32 / $1,169.33	Professional		$551.28	$662.32	$1,169.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,695.18 / $6,325.06 / $12,822.55	Facility		$2,695.18	$6,325.06	$12,822.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $759.73 / $905.59 / $1,119.33	Professional		$759.73	$905.59	$1,119.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.00 / $965.00 / $10,962.00	Facility		$579.00	$965.00	$10,962.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.14 / $900.67 / $1,323.70	Professional		$597.14	$900.67	$1,323.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $681.22 / $1,048.03 / $3,554.90	Professional		$681.22	$1,048.03	$3,554.90
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 $709.06 / $801.44 / $900.67	Professional		$709.06	$801.44	$900.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,018.45	Professional		$32.34	$32.34	$1,018.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $4,530.00 / $8,168.00	Facility		$1,172.00	$4,530.00	$8,168.00
United Facility/Professional Professional Modifier Low / Median / High Price $589.36 / $818.23 / $1,455.17	Professional		$589.36	$818.23	$1,455.17