Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,097.86 / $1,954.00 / $5,430.00	Facility		$1,097.86	$1,954.00	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.36 / $1,071.71 / $1,954.00	Professional		$939.36	$1,071.71	$1,954.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,520.56 / $12,033.92 / $24,097.92	Facility		$5,520.56	$12,033.92	$24,097.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,251.93 / $1,499.91 / $1,872.23	Professional		$1,251.93	$1,499.91	$1,872.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,159.75	Facility		$400.00	$785.00	$1,159.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $962.90 / $1,468.82 / $2,219.10	Professional		$962.90	$1,468.82	$2,219.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,092.88 / $1,706.92 / $4,376.27	Professional		$1,092.88	$1,706.92	$4,376.27
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 $1,154.52 / $1,326.73 / $1,491.76	Professional		$1,154.52	$1,326.73	$1,491.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,686.84	Professional		$32.34	$32.34	$1,686.84
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 $987.05 / $1,349.27 / $2,360.00	Professional		$987.05	$1,349.27	$2,360.00