Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,221.00 / $8,806.00	Facility		$1,017.00	$3,221.00	$8,806.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.11 / $975.12 / $1,895.18	Professional		$904.11	$975.12	$1,895.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,967.28 / $10,914.88 / $22,863.94	Facility		$5,967.28	$10,914.88	$22,863.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,193.72 / $1,599.58 / $1,818.09	Professional		$1,193.72	$1,599.58	$1,818.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $1,383.00 / $1,434.00	Facility		$1,383.00	$1,383.00	$1,434.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,065.03 / $1,438.72 / $2,156.98	Professional		$1,065.03	$1,438.72	$2,156.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.03 / $1,675.84 / $4,380.78	Professional		$1,065.03	$1,675.84	$4,380.78
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 $1,201.19 / $1,258.67 / $1,385.44	Professional		$1,201.19	$1,258.67	$1,385.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,598.58	Professional		$32.34	$32.34	$1,598.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,052.64 / $1,450.82 / $2,254.46	Professional		$1,052.64	$1,450.82	$2,254.46