Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,175.92 / $5,549.00	Facility		$1,159.00	$2,175.92	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.65 / $1,338.70 / $2,175.92	Professional		$942.65	$1,338.70	$2,175.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,314.57 / $15,646.16 / $31,331.43	Facility		$7,314.57	$15,646.16	$31,331.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,430.00 / $2,061.56 / $2,180.96	Professional		$1,430.00	$2,061.56	$2,180.96
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 $1,237.17 / $1,706.61 / $2,401.90	Professional		$1,237.17	$1,706.61	$2,401.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,239.83 / $1,934.16 / $4,746.60	Professional		$1,239.83	$1,934.16	$4,746.60
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 $1,284.39 / $1,465.26 / $1,643.41	Professional		$1,284.39	$1,465.26	$1,643.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,896.24	Professional		$32.34	$32.34	$1,896.24
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,143.58 / $1,675.01 / $2,791.71	Professional		$1,143.58	$1,675.01	$2,791.71