Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.89 / $2,758.00 / $5,580.00	Facility		$1,077.89	$2,758.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.31 / $1,077.89 / $1,917.79	Professional		$940.31	$1,077.89	$1,917.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,116.77 / $11,692.73 / $23,436.71	Facility		$6,116.77	$11,692.73	$23,436.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,287.53 / $1,640.35 / $1,904.55	Professional		$1,287.53	$1,640.35	$1,904.55
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 $1,100.90 / $1,551.79 / $2,160.04	Professional		$1,100.90	$1,551.79	$2,160.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.75 / $1,748.48 / $4,130.85	Professional		$1,124.75	$1,748.48	$4,130.85
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 $1,175.35 / $1,329.25 / $1,494.31	Professional		$1,175.35	$1,329.25	$1,494.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,724.21	Professional		$32.34	$32.34	$1,724.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $4,330.00 / $6,514.00	Facility		$1,165.00	$4,330.00	$6,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,013.81 / $1,418.38 / $2,333.29	Professional		$1,013.81	$1,418.38	$2,333.29