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 $799.44 / $916.70 / $1,663.96	Professional		$799.44	$916.70	$1,663.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,607.68 / $11,995.04 / $24,020.06	Facility		$5,607.68	$11,995.04	$24,020.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,021.57 / $1,513.17 / $1,785.60	Professional		$1,021.57	$1,513.17	$1,785.60
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 $915.41 / $1,336.23 / $1,935.26	Professional		$915.41	$1,336.23	$1,935.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $988.54 / $1,527.74 / $4,007.98	Professional		$988.54	$1,527.74	$4,007.98
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 $1,069.20 / $1,168.27 / $1,286.74	Professional		$1,069.20	$1,168.27	$1,286.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,484.70	Professional		$32.34	$32.34	$1,484.70
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $955.33 / $1,281.57 / $2,349.98	Professional		$955.33	$1,281.57	$2,349.98