Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,732.00 / $9,691.00	Facility		$1,017.00	$3,732.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.74 / $577.50 / $1,085.02	Professional		$562.74	$577.50	$1,085.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,194.68 / $14,209.55 / $21,862.58	Facility		$6,194.68	$14,209.55	$21,862.58
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 $666.84 / $919.56 / $1,292.45	Professional		$666.84	$919.56	$1,292.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $682.01 / $1,085.02 / $3,230.80	Professional		$682.01	$1,085.02	$3,230.80
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 $761.75 / $806.01 / $885.50	Professional		$761.75	$806.01	$885.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,021.73	Professional		$32.34	$32.34	$1,021.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $7,400.00 / $14,716.00	Facility		$1,520.00	$7,400.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $648.89 / $922.07 / $1,375.44	Professional		$648.89	$922.07	$1,375.44