Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.46 / $1,791.97 / $5,549.00	Facility		$1,075.46	$1,791.97	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.51 / $1,075.46 / $1,867.64	Professional		$885.51	$1,075.46	$1,867.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,750.69 / $12,300.96 / $24,632.67	Facility		$5,750.69	$12,300.96	$24,632.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,173.40 / $1,538.34 / $1,876.49	Professional		$1,173.40	$1,538.34	$1,876.49
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 $1,028.49 / $1,414.23 / $1,990.40	Professional		$1,028.49	$1,414.23	$1,990.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,027.20 / $1,623.75 / $5,331.55	Professional		$1,027.20	$1,623.75	$5,331.55
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 $1,059.70 / $1,213.97 / $1,361.85	Professional		$1,059.70	$1,213.97	$1,361.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,571.37	Professional		$32.34	$32.34	$1,571.37
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 $964.32 / $1,345.45 / $2,232.44	Professional		$964.32	$1,345.45	$2,232.44