Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,866.16 / $5,549.00	Facility		$1,129.00	$1,866.16	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.37 / $1,196.99 / $1,940.42	Professional		$880.37	$1,196.99	$1,940.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,297.71 / $11,332.00 / $22,692.33	Facility		$5,297.71	$11,332.00	$22,692.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,204.86 / $1,427.62 / $1,661.51	Professional		$1,204.86	$1,427.62	$1,661.51
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 $1,064.33 / $1,518.47 / $2,336.52	Professional		$1,064.33	$1,518.47	$2,336.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.03 / $1,630.06 / $6,128.49	Professional		$1,021.03	$1,630.06	$6,128.49
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 $1,081.08 / $1,246.52 / $1,398.37	Professional		$1,081.08	$1,246.52	$1,398.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,581.23	Professional		$32.34	$32.34	$1,581.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,655.00 / $11,047.00 / $35,962.00	Facility		$2,655.00	$11,047.00	$35,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,010.15 / $1,461.92 / $2,430.42	Professional		$1,010.15	$1,461.92	$2,430.42