Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.73 / $2,747.00 / $5,549.00	Facility		$1,100.73	$2,747.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.00 / $1,100.73 / $2,191.60	Professional		$907.00	$1,100.73	$2,191.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,717.63 / $14,369.28 / $28,774.48	Facility		$6,717.63	$14,369.28	$28,774.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,816.96 / $2,213.53	Professional		$1,314.00	$1,816.96	$2,213.53
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 $1,101.06 / $1,583.69 / $2,276.67	Professional		$1,101.06	$1,583.69	$2,276.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,254.83 / $1,803.18 / $4,485.82	Professional		$1,254.83	$1,803.18	$4,485.82
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 $1,258.22 / $1,370.84 / $1,525.03	Professional		$1,258.22	$1,370.84	$1,525.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,724.46	Professional		$32.34	$32.34	$1,724.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.92 / $1,374.76 / $2,400.03	Professional		$1,005.92	$1,374.76	$2,400.03