Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.08 / $3,630.00 / $10,073.00	Facility		$1,122.08	$3,630.00	$10,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.11 / $1,133.21 / $2,077.29	Professional		$979.11	$1,133.21	$2,077.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,864.05 / $14,700.83 / $26,299.99	Facility		$6,864.05	$14,700.83	$26,299.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,376.90 / $1,851.71 / $2,187.10	Professional		$1,376.90	$1,851.71	$2,187.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $11,477.00 / $12,682.00	Facility		$996.00	$11,477.00	$12,682.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.91 / $1,635.19 / $2,356.88	Professional		$1,163.91	$1,635.19	$2,356.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,210.83 / $1,927.30 / $4,623.08	Professional		$1,210.83	$1,927.30	$4,623.08
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 $1,301.98 / $1,430.98 / $1,574.63	Professional		$1,301.98	$1,430.98	$1,574.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,816.88	Professional		$32.34	$32.34	$1,816.88
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 $1,180.13 / $1,657.92 / $2,868.21	Professional		$1,180.13	$1,657.92	$2,868.21