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 $952.50 / $1,014.42 / $1,969.41	Professional		$952.50	$1,014.42	$1,969.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,368.02 / $11,186.60 / $24,399.40	Facility		$6,368.02	$11,186.60	$24,399.40
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 $1,124.88 / $1,532.28 / $2,306.54	Professional		$1,124.88	$1,532.28	$2,306.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.67 / $1,784.82 / $4,551.01	Professional		$1,133.67	$1,784.82	$4,551.01
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 $1,284.26 / $1,339.79 / $1,475.53	Professional		$1,284.26	$1,339.79	$1,475.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,702.53	Professional		$32.34	$32.34	$1,702.53
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 $1,095.71 / $1,601.71 / $2,362.05	Professional		$1,095.71	$1,601.71	$2,362.05