Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,861.07 / $5,549.00	Facility		$1,129.00	$1,861.07	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.37 / $1,148.53 / $1,795.36	Professional		$960.37	$1,148.53	$1,795.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,083.25 / $10,873.28 / $21,773.74	Facility		$5,083.25	$10,873.28	$21,773.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,155.64 / $1,369.29 / $1,831.46	Professional		$1,155.64	$1,369.29	$1,831.46
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 $1,021.07 / $1,438.10 / $2,121.44	Professional		$1,021.07	$1,438.10	$2,121.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $965.87 / $1,578.53 / $3,598.72	Professional		$965.87	$1,578.53	$3,598.72
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 $1,035.57 / $1,195.83 / $1,341.24	Professional		$1,035.57	$1,195.83	$1,341.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,403.14	Professional		$32.34	$32.34	$1,403.14
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 $1,005.18 / $1,474.12 / $2,336.64	Professional		$1,005.18	$1,474.12	$2,336.64