Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.51 / $1,848.00 / $5,549.00	Facility		$1,005.51	$1,848.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.97 / $1,005.51 / $1,833.51	Professional		$828.97	$1,005.51	$1,833.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $12,010.43 / $23,512.23	Facility		$8,538.45	$12,010.43	$23,512.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,201.40 / $1,661.25 / $2,023.01	Professional		$1,201.40	$1,661.25	$2,023.01
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 $977.71 / $1,445.59 / $2,074.13	Professional		$977.71	$1,445.59	$2,074.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,126.20 / $1,647.98 / $5,116.04	Professional		$1,126.20	$1,647.98	$5,116.04
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 $1,151.20 / $1,252.84 / $1,394.34	Professional		$1,151.20	$1,252.84	$1,394.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,576.68	Professional		$32.34	$32.34	$1,576.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,202.00 / $14,468.00	Facility		$2,575.00	$6,202.00	$14,468.00
United Facility/Professional Professional Modifier Low / Median / High Price $932.25 / $1,253.74 / $2,188.01	Professional		$932.25	$1,253.74	$2,188.01