Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.58 / $1,749.05 / $5,549.00	Facility		$1,080.58	$1,749.05	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.30 / $1,080.58 / $1,740.75	Professional		$836.30	$1,080.58	$1,740.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,894.65 / $12,608.88 / $25,249.28	Facility		$5,894.65	$12,608.88	$25,249.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,153.96 / $1,663.61 / $1,759.71	Professional		$1,153.96	$1,663.61	$1,759.71
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 $995.49 / $1,377.18 / $1,938.26	Professional		$995.49	$1,377.18	$1,938.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.36 / $1,561.69 / $4,324.64	Professional		$1,000.36	$1,561.69	$4,324.64
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 $1,033.02 / $1,182.25 / $1,326.17	Professional		$1,033.02	$1,182.25	$1,326.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,530.20	Professional		$32.34	$32.34	$1,530.20
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 $950.60 / $1,390.32 / $2,244.26	Professional		$950.60	$1,390.32	$2,244.26