Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.75 / $2,747.00 / $5,549.00	Facility		$1,073.75	$2,747.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.27 / $1,066.18 / $1,979.00	Professional		$859.27	$1,066.18	$1,979.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,552.96 / $14,017.04 / $28,069.12	Facility		$6,552.96	$14,017.04	$28,069.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,144.68 / $1,775.75 / $3,543.92	Professional		$1,144.68	$1,775.75	$3,543.92
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 $1,052.60 / $1,547.77 / $2,236.52	Professional		$1,052.60	$1,547.77	$2,236.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.38 / $1,779.17 / $6,726.01	Professional		$1,199.38	$1,779.17	$6,726.01
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 $1,154.96 / $1,328.51 / $1,490.44	Professional		$1,154.96	$1,328.51	$1,490.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,685.34	Professional		$32.34	$32.34	$1,685.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,537.00 / $6,885.00 / $14,716.00	Facility		$2,537.00	$6,885.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $988.44 / $1,385.70 / $2,356.11	Professional		$988.44	$1,385.70	$2,356.11