Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.04 / $2,989.00 / $8,089.00	Facility		$977.04	$2,989.00	$8,089.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.12 / $998.50 / $1,841.93	Professional		$965.12	$998.50	$1,841.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,145.90 / $11,769.72 / $27,379.90	Facility		$7,145.90	$11,769.72	$27,379.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,084.16 / $1,892.95 / $2,041.51	Professional		$1,084.16	$1,892.95	$2,041.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $999.67 / $1,377.68 / $2,012.74	Professional		$999.67	$1,377.68	$2,012.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.01 / $1,604.74 / $4,020.39	Professional		$1,034.01	$1,604.74	$4,020.39
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 $1,143.47 / $1,222.01 / $1,326.65	Professional		$1,143.47	$1,222.01	$1,326.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,530.75	Professional		$32.34	$32.34	$1,530.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,039.19 / $1,425.63 / $2,188.19	Professional		$1,039.19	$1,425.63	$2,188.19