Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.91 / $1,842.00 / $5,549.00	Facility		$1,108.91	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.01 / $1,108.91 / $1,781.22	Professional		$927.01	$1,108.91	$1,781.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,461.10 / $9,382.79 / $18,804.97	Facility		$6,461.10	$9,382.79	$18,804.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,108.38 / $1,326.43 / $1,657.26	Professional		$1,108.38	$1,326.43	$1,657.26
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 $979.67 / $1,387.34 / $2,258.78	Professional		$979.67	$1,387.34	$2,258.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $945.76 / $1,469.51 / $4,083.33	Professional		$945.76	$1,469.51	$4,083.33
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 $984.83 / $1,157.79 / $1,299.26	Professional		$984.83	$1,157.79	$1,299.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,469.16	Professional		$32.34	$32.34	$1,469.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $933.28 / $1,393.75 / $2,245.46	Professional		$933.28	$1,393.75	$2,245.46