Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.83 / $1,723.15 / $5,549.00	Facility		$1,060.83	$1,723.15	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $820.50 / $1,060.83 / $1,723.15	Professional		$820.50	$1,060.83	$1,723.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,786.93 / $12,378.48 / $24,787.90	Facility		$5,786.93	$12,378.48	$24,787.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,131.42 / $1,631.11 / $1,725.57	Professional		$1,131.42	$1,631.11	$1,725.57
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 $979.35 / $1,350.27 / $1,900.38	Professional		$979.35	$1,350.27	$1,900.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $980.95 / $1,543.32 / $3,803.07	Professional		$980.95	$1,543.32	$3,803.07
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 $1,013.87 / $1,159.30 / $1,300.26	Professional		$1,013.87	$1,159.30	$1,300.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,500.30	Professional		$32.34	$32.34	$1,500.30
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 $954.56 / $1,363.77 / $2,552.75	Professional		$954.56	$1,363.77	$2,552.75