Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,747.00 / $5,580.00	Facility		$1,129.00	$2,747.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.83 / $1,140.83 / $2,089.38	Professional		$939.83	$1,140.83	$2,089.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,962.38 / $14,892.80 / $29,822.83	Facility		$6,962.38	$14,892.80	$29,822.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,363.12 / $1,884.89 / $2,296.06	Professional		$1,363.12	$1,884.89	$2,296.06
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 $1,125.10 / $1,642.89 / $2,374.39	Professional		$1,125.10	$1,642.89	$2,374.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,293.02 / $1,870.42 / $7,157.03	Professional		$1,293.02	$1,870.42	$7,157.03
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 $1,303.38 / $1,421.95 / $1,582.05	Professional		$1,303.38	$1,421.95	$1,582.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,788.93	Professional		$32.34	$32.34	$1,788.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $4,469.00 / $8,566.00	Facility		$1,600.00	$4,469.00	$8,566.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,053.06 / $1,434.25 / $2,491.82	Professional		$1,053.06	$1,434.25	$2,491.82