Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.86 / $1,887.33 / $5,430.00	Facility		$1,065.86	$1,887.33	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.46 / $1,065.86 / $1,887.33	Professional		$927.46	$1,065.86	$1,887.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,359.63 / $11,683.12 / $23,395.44	Facility		$5,359.63	$11,683.12	$23,395.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,205.36 / $1,444.13 / $1,803.15	Professional		$1,205.36	$1,444.13	$1,803.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,129.03	Facility		$400.00	$785.00	$1,129.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.56 / $1,436.29 / $2,145.00	Professional		$952.56	$1,436.29	$2,145.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.20 / $1,670.95 / $4,304.68	Professional		$1,081.20	$1,670.95	$4,304.68
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 $1,152.84 / $1,277.78 / $1,436.29	Professional		$1,152.84	$1,277.78	$1,436.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,502.58	Professional		$32.34	$32.34	$1,502.58
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 $964.53 / $1,323.85 / $2,329.42	Professional		$964.53	$1,323.85	$2,329.42