Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,168.69 / $10,000.00	Facility		$1,023.29	$4,168.69	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,905.46	Professional		$691.83	$870.96	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $15,135.61 / $19,498.45	Facility		$7,244.36	$15,135.61	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,548.82	Professional		$891.25	$1,258.93	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $11,481.54 / $12,589.25	Facility		$7,585.78	$11,481.54	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,698.24	Professional		$758.58	$1,148.15	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $5,011.87	Professional		$794.33	$1,318.26	$5,011.87
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 $933.25 / $1,023.29 / $1,122.02	Professional		$933.25	$1,023.29	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,943.28 / $16,982.44	Facility		$2,570.40	$7,943.28	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,737.80	Professional		$831.76	$1,071.52	$1,737.80