Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.40 / $1,842.00 / $5,549.00	Facility		$1,020.40	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.03 / $1,020.40 / $1,628.76	Professional		$857.03	$1,020.40	$1,628.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,516.16 / $9,660.24 / $19,344.63	Facility		$4,516.16	$9,660.24	$19,344.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,010.20 / $1,208.93 / $1,413.24	Professional		$1,010.20	$1,208.93	$1,413.24
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 $905.30 / $1,277.85 / $1,776.51	Professional		$905.30	$1,277.85	$1,776.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $836.42 / $1,370.17 / $4,221.54	Professional		$836.42	$1,370.17	$4,221.54
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 $906.13 / $1,060.25 / $1,184.16	Professional		$906.13	$1,060.25	$1,184.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,339.01	Professional		$32.34	$32.34	$1,339.01
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,714.00 / $6,625.00	Facility		$785.00	$2,714.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $909.91 / $1,485.34 / $2,252.69	Professional		$909.91	$1,485.34	$2,252.69