Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,887.77 / $5,389.00	Facility		$1,017.00	$1,887.77	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.21 / $1,049.54 / $1,887.77	Professional		$944.21	$1,049.54	$1,887.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,270.91 / $6,356.41 / $20,319.22	Facility		$4,270.91	$6,356.41	$20,319.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,184.18 / $1,418.74 / $1,816.94	Professional		$1,184.18	$1,418.74	$1,816.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,158.61	Facility		$400.00	$785.00	$1,158.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.77 / $1,417.41 / $2,182.83	Professional		$961.77	$1,417.41	$2,182.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,089.46 / $1,660.68 / $4,457.28	Professional		$1,089.46	$1,660.68	$4,457.28
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 $1,202.47 / $1,287.55 / $1,411.03	Professional		$1,202.47	$1,287.55	$1,411.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,595.55	Professional		$32.34	$32.34	$1,595.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,975.00 / $7,217.97	Facility		$1,098.00	$3,975.00	$7,217.97
United Facility/Professional Professional Modifier Low / Median / High Price $985.81 / $1,372.79 / $2,264.39	Professional		$985.81	$1,372.79	$2,264.39