Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.76 / $2,824.00 / $5,580.00	Facility		$1,001.76	$2,824.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.84 / $1,001.76 / $1,945.20	Professional		$876.84	$1,001.76	$1,945.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,846.66 / $9,759.01 / $21,285.63	Facility		$4,846.66	$9,759.01	$21,285.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,281.85 / $1,528.39 / $1,848.61	Professional		$1,281.85	$1,528.39	$1,848.61
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 $894.52 / $1,340.14 / $2,037.04	Professional		$894.52	$1,340.14	$2,037.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,057.92 / $1,702.87 / $4,528.68	Professional		$1,057.92	$1,702.87	$4,528.68
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 $1,254.47 / $1,341.65 / $1,487.72	Professional		$1,254.47	$1,341.65	$1,487.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,716.60	Professional		$32.34	$32.34	$1,716.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,995.00	Facility		$1,690.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $888.69 / $1,232.77 / $2,126.48	Professional		$888.69	$1,232.77	$2,126.48