Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.53 / $2,044.57 / $5,430.00	Facility		$1,138.53	$2,044.57	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.90 / $1,138.53 / $2,044.57	Professional		$977.90	$1,138.53	$2,044.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,725.01 / $12,479.60 / $24,990.39	Facility		$5,725.01	$12,479.60	$24,990.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,296.13 / $1,552.85 / $1,942.87	Professional		$1,296.13	$1,552.85	$1,942.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,207.13	Facility		$400.00	$785.00	$1,207.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.69 / $1,544.42 / $2,342.96	Professional		$1,041.69	$1,544.42	$2,342.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,164.98 / $1,800.42 / $4,660.74	Professional		$1,164.98	$1,800.42	$4,660.74
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 $1,202.77 / $1,376.79 / $1,544.43	Professional		$1,202.77	$1,376.79	$1,544.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,746.39	Professional		$32.34	$32.34	$1,746.39
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,056.67 / $1,495.73 / $2,485.37	Professional		$1,056.67	$1,495.73	$2,485.37