Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $1,927.37 / $5,549.00	Facility		$1,159.00	$1,927.37	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.82 / $1,184.06 / $1,927.37	Professional		$915.82	$1,184.06	$1,927.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,459.12 / $13,816.32 / $27,667.18	Facility		$6,459.12	$13,816.32	$27,667.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,262.63 / $1,820.27 / $1,925.58	Professional		$1,262.63	$1,820.27	$1,925.58
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 $1,090.41 / $1,506.87 / $2,120.78	Professional		$1,090.41	$1,506.87	$2,120.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.65 / $1,726.75 / $4,208.74	Professional		$1,094.65	$1,726.75	$4,208.74
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 $1,127.71 / $1,293.68 / $1,451.06	Professional		$1,127.71	$1,293.68	$1,451.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,674.30	Professional		$32.34	$32.34	$1,674.30
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 $1,062.83 / $1,524.04 / $2,475.39	Professional		$1,062.83	$1,524.04	$2,475.39