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 $814.23 / $881.19 / $1,716.16	Professional		$814.23	$881.19	$1,716.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,396.63 / $10,317.09 / $20,677.47	Facility		$5,396.63	$10,317.09	$20,677.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,081.66 / $1,449.42 / $1,649.08	Professional		$1,081.66	$1,449.42	$1,649.08
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 $966.02 / $1,303.66 / $1,966.20	Professional		$966.02	$1,303.66	$1,966.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $966.02 / $1,518.53 / $5,228.32	Professional		$966.02	$1,518.53	$5,228.32
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 $1,086.68 / $1,141.66 / $1,255.38	Professional		$1,086.68	$1,141.66	$1,255.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,448.52	Professional		$32.34	$32.34	$1,448.52
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 $951.04 / $1,335.18 / $2,372.32	Professional		$951.04	$1,335.18	$2,372.32