Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.87 / $1,842.00 / $5,549.00	Facility		$1,017.87	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.10 / $1,017.87 / $1,627.74	Professional		$855.10	$1,017.87	$1,627.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,504.97 / $9,636.32 / $19,296.73	Facility		$4,504.97	$9,636.32	$19,296.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,018.10 / $1,206.33 / $1,410.28	Professional		$1,018.10	$1,206.33	$1,410.28
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 $903.40 / $1,275.18 / $2,032.16	Professional		$903.40	$1,275.18	$2,032.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $862.57 / $1,342.89 / $4,851.35	Professional		$862.57	$1,342.89	$4,851.35
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 $904.32 / $1,058.03 / $1,181.60	Professional		$904.32	$1,058.03	$1,181.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,336.13	Professional		$32.34	$32.34	$1,336.13
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 $871.92 / $1,260.43 / $2,254.40	Professional		$871.92	$1,260.43	$2,254.40