Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,119.36 / $5,430.00	Facility		$1,017.00	$2,119.36	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.00 / $1,195.89 / $2,119.36	Professional		$899.00	$1,195.89	$2,119.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,127.24 / $15,245.44 / $30,528.99	Facility		$7,127.24	$15,245.44	$30,528.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,503.59 / $1,948.26 / $2,147.80	Professional		$1,503.59	$1,948.26	$2,147.80
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 $883.90 / $1,621.20 / $2,244.48	Professional		$883.90	$1,621.20	$2,244.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,097.96 / $1,886.16 / $4,823.43	Professional		$1,097.96	$1,886.16	$4,823.43
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 $1,217.07 / $1,460.00 / $1,686.05	Professional		$1,217.07	$1,460.00	$1,686.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,906.53	Professional		$32.34	$32.34	$1,906.53
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $850.72 / $1,277.04 / $2,529.61	Professional		$850.72	$1,277.04	$2,529.61