Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.85 / $2,747.00 / $9,691.00	Facility		$1,028.85	$2,747.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.33 / $1,028.85 / $1,607.14	Professional		$863.33	$1,028.85	$1,607.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,553.59 / $9,740.32 / $19,504.99	Facility		$4,553.59	$9,740.32	$19,504.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.64 / $1,224.74 / $1,431.05	Professional		$1,033.64	$1,224.74	$1,431.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $12,731.00 / $28,989.00	Facility		$875.00	$12,731.00	$28,989.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.71 / $1,297.80 / $1,984.47	Professional		$916.71	$1,297.80	$1,984.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $882.24 / $1,403.96 / $4,230.29	Professional		$882.24	$1,403.96	$4,230.29
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 $949.77 / $1,073.61 / $1,199.64	Professional		$949.77	$1,073.61	$1,199.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,356.52	Professional		$32.34	$32.34	$1,356.52
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 $899.04 / $1,233.83 / $2,100.46	Professional		$899.04	$1,233.83	$2,100.46