Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,842.00 / $5,549.00	Facility		$1,129.00	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.75 / $1,138.61 / $1,822.98	Professional		$951.75	$1,138.61	$1,822.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,039.38 / $10,779.44 / $21,585.82	Facility		$5,039.38	$10,779.44	$21,585.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,134.33 / $1,357.48 / $1,697.23	Professional		$1,134.33	$1,357.48	$1,697.23
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 $942.66 / $1,407.60 / $2,363.56	Professional		$942.66	$1,407.60	$2,363.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $969.75 / $1,503.96 / $3,978.36	Professional		$969.75	$1,503.96	$3,978.36
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 $999.43 / $1,184.94 / $1,329.67	Professional		$999.43	$1,184.94	$1,329.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,503.55	Professional		$32.34	$32.34	$1,503.55
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 $958.54 / $1,478.56 / $2,306.25	Professional		$958.54	$1,478.56	$2,306.25