Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $1,848.00 / $5,549.00	Facility		$1,129.00	$1,848.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $984.47 / $1,177.98 / $1,883.92	Professional		$984.47	$1,177.98	$1,883.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,213.63 / $11,152.16 / $22,332.20	Facility		$5,213.63	$11,152.16	$22,332.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,172.07 / $1,402.65 / $1,632.23	Professional		$1,172.07	$1,402.65	$1,632.23
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 $1,037.21 / $1,476.78 / $2,393.07	Professional		$1,037.21	$1,476.78	$2,393.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.83 / $1,591.16 / $4,788.38	Professional		$1,001.83	$1,591.16	$4,788.38
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 $1,034.25 / $1,224.55 / $1,373.91	Professional		$1,034.25	$1,224.55	$1,373.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,553.57	Professional		$32.34	$32.34	$1,553.57
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 $1,044.19 / $1,474.48 / $2,383.53	Professional		$1,044.19	$1,474.48	$2,383.53