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 $860.78 / $989.05 / $1,844.15	Professional		$860.78	$989.05	$1,844.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,050.27 / $12,941.76 / $25,915.87	Facility		$6,050.27	$12,941.76	$25,915.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,107.84 / $1,643.10 / $1,936.40	Professional		$1,107.84	$1,643.10	$1,936.40
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 $977.35 / $1,450.97 / $2,042.11	Professional		$977.35	$1,450.97	$2,042.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,072.03 / $1,656.77 / $5,315.67	Professional		$1,072.03	$1,656.77	$5,315.67
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 $1,172.08 / $1,266.94 / $1,397.24	Professional		$1,172.08	$1,266.94	$1,397.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,612.20	Professional		$32.34	$32.34	$1,612.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $7,400.00 / $14,716.00	Facility		$1,520.00	$7,400.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $986.37 / $1,336.40 / $2,211.03	Professional		$986.37	$1,336.40	$2,211.03