Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,955.06 / $5,091.00	Facility		$1,017.00	$1,955.06	$5,091.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.55 / $1,104.97 / $1,955.06	Professional		$948.55	$1,104.97	$1,955.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,277.81 / $5,662.21 / $21,392.25	Facility		$3,277.81	$5,662.21	$21,392.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,259.60 / $1,509.11 / $1,884.12	Professional		$1,259.60	$1,509.11	$1,884.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $750.00 / $2,720.17	Facility		$400.00	$750.00	$2,720.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.10 / $1,483.04 / $2,228.58	Professional		$1,003.10	$1,483.04	$2,228.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,129.74 / $1,745.97 / $4,395.10	Professional		$1,129.74	$1,745.97	$4,395.10
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 $1,171.56 / $1,335.15 / $1,500.92	Professional		$1,171.56	$1,335.15	$1,500.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,697.19	Professional		$32.34	$32.34	$1,697.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $3,951.00 / $6,482.00	Facility		$1,098.00	$3,951.00	$6,482.00
United Facility/Professional Professional Modifier Low / Median / High Price $996.69 / $1,344.06 / $2,411.28	Professional		$996.69	$1,344.06	$2,411.28