Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,090.61 / $5,430.00	Facility		$1,159.00	$2,090.61	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.34 / $1,188.44 / $2,090.61	Professional		$987.34	$1,188.44	$2,090.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,975.93 / $13,026.56 / $26,085.68	Facility		$5,975.93	$13,026.56	$26,085.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,367.82 / $1,617.21 / $2,045.80	Professional		$1,367.82	$1,617.21	$2,045.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $1,252.98	Facility		$400.00	$785.00	$1,252.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.56 / $1,608.43 / $2,383.96	Professional		$1,068.56	$1,608.43	$2,383.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,188.09 / $1,840.41 / $5,408.64	Professional		$1,188.09	$1,840.41	$5,408.64
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 $1,247.09 / $1,430.92 / $1,608.43	Professional		$1,247.09	$1,430.92	$1,608.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,818.76	Professional		$32.34	$32.34	$1,818.76
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $2,873.00 / $6,291.00	Facility		$785.00	$2,873.00	$6,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.25 / $1,495.00 / $2,574.41	Professional		$1,058.25	$1,495.00	$2,574.41