Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.08 / $1,904.02 / $5,430.00	Facility		$1,063.08	$1,904.02	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $957.81 / $1,063.08 / $1,904.02	Professional		$957.81	$1,063.08	$1,904.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,345.57 / $11,652.48 / $23,334.09	Facility		$5,345.57	$11,652.48	$23,334.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,203.94 / $1,442.40 / $1,845.55	Professional		$1,203.94	$1,442.40	$1,845.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,175.30	Facility		$400.00	$785.00	$1,175.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.57 / $1,459.52 / $2,278.01	Professional		$983.57	$1,459.52	$2,278.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,106.61 / $1,690.11 / $4,574.08	Professional		$1,106.61	$1,690.11	$4,574.08
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 $1,226.88 / $1,307.83 / $1,434.58	Professional		$1,226.88	$1,307.83	$1,434.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,622.17	Professional		$32.34	$32.34	$1,622.17
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 $995.46 / $1,377.94 / $2,293.77	Professional		$995.46	$1,377.94	$2,293.77