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 $802.45 / $855.71 / $1,658.20	Professional		$802.45	$855.71	$1,658.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,367.68 / $10,261.75 / $20,566.55	Facility		$5,367.68	$10,261.75	$20,566.55
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 $939.04 / $1,291.89 / $1,930.00	Professional		$939.04	$1,291.89	$1,930.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $955.15 / $1,500.40 / $3,861.03	Professional		$955.15	$1,500.40	$3,861.03
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 $1,084.51 / $1,128.82 / $1,244.04	Professional		$1,084.51	$1,128.82	$1,244.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,435.43	Professional		$32.34	$32.34	$1,435.43
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 $925.26 / $1,282.09 / $1,987.84	Professional		$925.26	$1,282.09	$1,987.84