Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $1,899.30 / $5,549.00	Facility		$1,159.00	$1,899.30	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.32 / $1,166.56 / $1,899.30	Professional		$902.32	$1,166.56	$1,899.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,363.68 / $13,612.16 / $27,258.35	Facility		$6,363.68	$13,612.16	$27,258.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.63 / $1,795.76 / $1,899.17	Professional		$1,245.63	$1,795.76	$1,899.17
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 $1,080.09 / $1,486.58 / $2,092.21	Professional		$1,080.09	$1,486.58	$2,092.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.64 / $1,684.79 / $4,752.03	Professional		$1,079.64	$1,684.79	$4,752.03
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 $1,112.02 / $1,275.94 / $1,431.52	Professional		$1,112.02	$1,275.94	$1,431.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,651.76	Professional		$32.34	$32.34	$1,651.76
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,043.08 / $1,570.23 / $2,439.38	Professional		$1,043.08	$1,570.23	$2,439.38