Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,898.84 / $5,549.00	Facility		$1,017.00	$1,898.84	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $848.47 / $1,029.57 / $1,898.84	Professional		$848.47	$1,029.57	$1,898.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.57 / $11,037.86 / $24,074.97	Facility		$4,464.57	$11,037.86	$24,074.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,231.93 / $1,703.47 / $2,075.17	Professional		$1,231.93	$1,703.47	$2,075.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $3,072.73 / $3,430.33	Facility		$875.00	$3,072.73	$3,430.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $948.76 / $1,455.66 / $2,106.71	Professional		$948.76	$1,455.66	$2,106.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,120.84 / $1,680.59 / $3,806.70	Professional		$1,120.84	$1,680.59	$3,806.70
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 $1,176.44 / $1,285.15 / $1,429.78	Professional		$1,176.44	$1,285.15	$1,429.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,616.75	Professional		$32.34	$32.34	$1,616.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $931.62 / $1,253.93 / $2,258.10	Professional		$931.62	$1,253.93	$2,258.10