Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.03 / $2,207.41 / $5,405.00	Facility		$1,109.03	$2,207.41	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $985.69 / $1,109.03 / $1,886.13	Professional		$985.69	$1,109.03	$1,886.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,830.58 / $13,977.14 / $26,171.73	Facility		$6,830.58	$13,977.14	$26,171.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,242.46 / $1,852.04 / $2,047.33	Professional		$1,242.46	$1,852.04	$2,047.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.36 / $1,445.10 / $2,064.23	Professional		$1,069.36	$1,445.10	$2,064.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,059.74 / $1,674.56 / $4,276.74	Professional		$1,059.74	$1,674.56	$4,276.74
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 $1,174.73 / $1,252.42 / $1,360.58	Professional		$1,174.73	$1,252.42	$1,360.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,569.90	Professional		$32.34	$32.34	$1,569.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $5,000.00 / $8,995.00	Facility		$1,152.00	$5,000.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,057.33 / $1,482.48 / $2,338.71	Professional		$1,057.33	$1,482.48	$2,338.71