Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,008.19 / $5,430.00	Facility		$1,129.00	$2,008.19	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.70 / $1,139.20 / $2,008.19	Professional		$979.70	$1,139.20	$2,008.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,728.35 / $12,486.88 / $25,004.97	Facility		$5,728.35	$12,486.88	$25,004.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,550.04 / $1,550.04 / $3,665.61	Professional		$1,550.04	$1,550.04	$3,665.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,204.00	Facility		$400.00	$785.00	$1,204.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.57 / $1,541.62 / $2,280.58	Professional		$1,042.57	$1,541.62	$2,280.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,160.48 / $1,793.47 / $4,517.56	Professional		$1,160.48	$1,793.47	$4,517.56
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 $1,207.43 / $1,371.47 / $1,541.62	Professional		$1,207.43	$1,371.47	$1,541.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,743.21	Professional		$32.34	$32.34	$1,743.21
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 $1,047.56 / $1,412.84 / $2,484.37	Professional		$1,047.56	$1,412.84	$2,484.37