Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,970.21 / $5,549.00	Facility		$1,129.00	$1,970.21	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.32 / $1,262.32 / $2,022.56	Professional		$893.32	$1,262.32	$2,022.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,586.88 / $11,950.56 / $23,930.99	Facility		$5,586.88	$11,950.56	$23,930.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,270.74 / $1,505.67 / $1,752.35	Professional		$1,270.74	$1,505.67	$1,752.35
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 $1,122.52 / $1,618.05 / $2,218.90	Professional		$1,122.52	$1,618.05	$2,218.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.33 / $1,729.29 / $7,437.12	Professional		$1,076.33	$1,729.29	$7,437.12
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 $1,138.74 / $1,314.66 / $1,474.82	Professional		$1,138.74	$1,314.66	$1,474.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,667.69	Professional		$32.34	$32.34	$1,667.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,276.00 / $8,141.00 / $21,651.00	Facility		$2,276.00	$8,141.00	$21,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,065.00 / $1,488.30 / $2,562.39	Professional		$1,065.00	$1,488.30	$2,562.39