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 / $9,691.00	Facility		$1,017.00	$3,221.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.84 / $982.19 / $2,004.36	Professional		$903.84	$982.19	$2,004.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.40 / $10,914.88 / $23,086.63	Facility		$6,025.40	$10,914.88	$23,086.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,213.57 / $1,626.17 / $1,851.01	Professional		$1,213.57	$1,626.17	$1,851.01
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 $1,076.32 / $1,462.64 / $2,169.48	Professional		$1,076.32	$1,462.64	$2,169.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,084.31 / $1,703.71 / $5,454.70	Professional		$1,084.31	$1,703.71	$5,454.70
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 $1,214.02 / $1,281.46 / $1,408.47	Professional		$1,214.02	$1,281.46	$1,408.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,625.16	Professional		$32.34	$32.34	$1,625.16
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 $1,061.33 / $1,529.40 / $2,289.82	Professional		$1,061.33	$1,529.40	$2,289.82