Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,079.00 / $5,389.00	Facility		$1,017.00	$2,079.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.20 / $1,275.24 / $2,014.72	Professional		$908.20	$1,275.24	$2,014.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.86 / $12,013.57 / $26,203.12	Facility		$754.86	$12,013.57	$26,203.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,304.70 / $1,849.11 / $2,031.22	Professional		$1,304.70	$1,849.11	$2,031.22
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 $1,010.28 / $1,515.11 / $2,213.11	Professional		$1,010.28	$1,515.11	$2,213.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.26 / $1,805.42 / $4,239.99	Professional		$1,056.26	$1,805.42	$4,239.99
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 $1,373.14 / $1,397.70 / $1,514.23	Professional		$1,373.14	$1,397.70	$1,514.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,712.24	Professional		$32.34	$32.34	$1,712.24
United Facility/Professional Facility Modifier Low / Median / High Price $660.00 / $1,703.00 / $4,256.00	Facility		$660.00	$1,703.00	$4,256.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,051.48 / $1,334.40 / $2,433.21	Professional		$1,051.48	$1,334.40	$2,433.21