Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.05 / $3,270.00 / $10,073.00	Facility		$1,065.05	$3,270.00	$10,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.94 / $1,029.59 / $2,390.02	Professional		$866.94	$1,029.59	$2,390.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,334.00 / $9,587.33 / $20,911.18	Facility		$4,334.00	$9,587.33	$20,911.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.45 / $427.00 / $1,230.75	Professional		$324.45	$427.00	$1,230.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $1,383.00 / $1,434.00	Facility		$1,383.00	$1,383.00	$1,434.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.35 / $1,401.69 / $1,971.80	Professional		$1,003.35	$1,401.69	$1,971.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.59 / $1,680.02 / $5,547.06	Professional		$1,037.59	$1,680.02	$5,547.06
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 $1,207.60 / $1,300.01 / $1,440.08	Professional		$1,207.60	$1,300.01	$1,440.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,661.63	Professional		$32.34	$32.34	$1,661.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,704.51 / $5,619.00 / $11,479.00	Facility		$2,704.51	$5,619.00	$11,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $981.86 / $1,377.63 / $2,291.04	Professional		$981.86	$1,377.63	$2,291.04