Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,073.00 / $8,783.00	Facility		$1,017.00	$3,073.00	$8,783.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.17 / $826.22 / $1,523.34	Professional		$801.17	$826.22	$1,523.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,941.25 / $12,708.56 / $25,448.89	Facility		$5,941.25	$12,708.56	$25,448.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.46 / $1,567.70 / $1,686.17	Professional		$895.46	$1,567.70	$1,686.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $854.04 / $1,150.73 / $1,683.66	Professional		$854.04	$1,150.73	$1,683.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $854.04 / $1,336.27 / $3,290.56	Professional		$854.04	$1,336.27	$3,290.56
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 $953.15 / $1,009.32 / $1,098.71	Professional		$953.15	$1,009.32	$1,098.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,267.74	Professional		$32.34	$32.34	$1,267.74
United Facility/Professional Facility Modifier Low / Median / High Price $930.00 / $3,951.00 / $6,625.00	Facility		$930.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $835.41 / $1,102.55 / $1,751.22	Professional		$835.41	$1,102.55	$1,751.22