Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,842.00 / $5,549.00	Facility		$1,017.00	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.30 / $1,090.83 / $1,709.46	Professional		$915.30	$1,090.83	$1,709.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,827.92 / $10,327.12 / $20,680.05	Facility		$4,827.92	$10,327.12	$20,680.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,085.92 / $1,299.55 / $1,518.16	Professional		$1,085.92	$1,299.55	$1,518.16
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 $972.50 / $1,367.84 / $2,153.52	Professional		$972.50	$1,367.84	$2,153.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $934.24 / $1,474.95 / $3,654.70	Professional		$934.24	$1,474.95	$3,654.70
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 $1,002.24 / $1,138.97 / $1,272.92	Professional		$1,002.24	$1,138.97	$1,272.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,439.38	Professional		$32.34	$32.34	$1,439.38
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,800.00 / $6,650.00	Facility		$785.00	$2,800.00	$6,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $957.07 / $1,332.77 / $2,231.57	Professional		$957.07	$1,332.77	$2,231.57