Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,111.94 / $5,430.00	Facility		$1,159.00	$2,111.94	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.83 / $1,203.31 / $2,111.94	Professional		$1,029.83	$1,203.31	$2,111.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,050.72 / $13,189.60 / $26,412.17	Facility		$6,050.72	$13,189.60	$26,412.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,385.89 / $1,638.57 / $2,075.73	Professional		$1,385.89	$1,638.57	$2,075.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,269.05	Facility		$400.00	$785.00	$1,269.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,082.40 / $1,628.57 / $2,419.58	Professional		$1,082.40	$1,628.57	$2,419.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,204.29 / $1,866.35 / $4,864.20	Professional		$1,204.29	$1,866.35	$4,864.20
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 $1,263.04 / $1,449.75 / $1,629.68	Professional		$1,263.04	$1,449.75	$1,629.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,842.79	Professional		$32.34	$32.34	$1,842.79
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 $1,093.63 / $1,458.26 / $2,541.44	Professional		$1,093.63	$1,458.26	$2,541.44