Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $5,888.44	Facility		$1,000.00	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $2,290.87	Professional		$812.83	$1,096.48	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $12,589.25 / $20,892.96	Facility		$10,232.93	$12,589.25	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $1,995.26	Professional		$851.14	$1,380.38	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $4,786.30	Professional		$1,047.13	$1,659.59	$4,786.30
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 $1,122.02 / $1,230.27 / $1,380.38	Professional		$1,122.02	$1,230.27	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $194.98	Professional		$32.36	$32.36	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,882.50	Facility		$2,137.96	$5,370.32	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,995.26	Professional		$851.14	$1,148.15	$1,995.26