Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,016.52 / $1,842.00 / $5,549.00	Facility		$1,016.52	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.97 / $1,016.52 / $1,624.95	Professional		$853.97	$1,016.52	$1,624.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,498.99 / $9,623.52 / $19,271.09	Facility		$4,498.99	$9,623.52	$19,271.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.35 / $1,205.53 / $1,409.36	Professional		$1,007.35	$1,205.53	$1,409.36
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 $902.81 / $1,271.66 / $2,029.37	Professional		$902.81	$1,271.66	$2,029.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $857.42 / $1,389.74 / $3,880.39	Professional		$857.42	$1,389.74	$3,880.39
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 $904.70 / $1,057.33 / $1,180.83	Professional		$904.70	$1,057.33	$1,180.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,335.25	Professional		$32.34	$32.34	$1,335.25
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 $905.76 / $1,320.43 / $2,090.04	Professional		$905.76	$1,320.43	$2,090.04