Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.45 / $2,747.00 / $5,549.00	Facility		$1,020.45	$2,747.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.35 / $1,017.41 / $1,635.38	Professional		$850.35	$1,017.41	$1,635.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,091.59 / $11,469.87 / $23,861.74	Facility		$7,091.59	$11,469.87	$23,861.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,177.77 / $1,628.58 / $2,000.38	Professional		$1,177.77	$1,628.58	$2,000.38
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 $878.34 / $1,366.92 / $1,997.80	Professional		$878.34	$1,366.92	$1,997.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.25 / $1,613.54 / $3,803.07	Professional		$1,048.25	$1,613.54	$3,803.07
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 $1,198.63 / $1,238.83 / $1,366.91	Professional		$1,198.63	$1,238.83	$1,366.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,545.66	Professional		$32.34	$32.34	$1,545.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,499.00 / $3,671.00 / $6,514.00	Facility		$1,499.00	$3,671.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $889.97 / $1,216.30 / $2,052.94	Professional		$889.97	$1,216.30	$2,052.94