Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,694.00 / $12,428.90	Facility		$1,017.00	$3,694.00	$12,428.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.96 / $5,404.24 / $9,956.08	Professional		$757.96	$5,404.24	$9,956.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,655.90 / $12,724.02 / $20,136.22	Facility		$8,655.90	$12,724.02	$20,136.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $958.21 / $2,682.02 / $10,355.62	Professional		$958.21	$2,682.02	$10,355.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $1,855.00 / $1,923.00	Facility		$1,855.00	$1,855.00	$1,923.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $890.86 / $1,847.85 / $9,684.06	Professional		$890.86	$1,847.85	$9,684.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.31 / $7,041.46 / $10,880.96	Professional		$1,049.31	$7,041.46	$10,880.96
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 $907.40 / $965.11 / $7,072.62	Professional		$907.40	$965.11	$7,072.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $8,160.72	Professional		$32.34	$32.34	$8,160.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $8,691.00 / $24,266.64	Facility		$2,276.00	$8,691.00	$24,266.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,971.88 / $8,235.25 / $13,423.06	Professional		$1,971.88	$8,235.25	$13,423.06