Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.10 / $1,875.46 / $5,430.00	Facility		$1,045.10	$1,875.46	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.46 / $1,045.10 / $1,875.46	Professional		$908.46	$1,045.10	$1,875.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,255.21 / $11,455.52 / $22,939.67	Facility		$5,255.21	$11,455.52	$22,939.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,175.74 / $1,408.62 / $1,777.40	Professional		$1,175.74	$1,408.62	$1,777.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,113.11	Facility		$400.00	$785.00	$1,113.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.82 / $1,422.65 / $2,145.26	Professional		$958.82	$1,422.65	$2,145.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.76 / $1,647.08 / $4,257.59	Professional		$1,065.76	$1,647.08	$4,257.59
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 $1,125.66 / $1,259.53 / $1,400.97	Professional		$1,125.66	$1,259.53	$1,400.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,584.17	Professional		$32.34	$32.34	$1,584.17
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 $956.25 / $1,323.54 / $2,266.69	Professional		$956.25	$1,323.54	$2,266.69