Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.95 / $2,092.84 / $5,389.00	Facility		$1,050.95	$2,092.84	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.01 / $1,050.95 / $1,817.72	Professional		$934.01	$1,050.95	$1,817.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,494.10 / $10,661.17 / $24,801.07	Facility		$4,494.10	$10,661.17	$24,801.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,179.18 / $1,757.72 / $1,942.27	Professional		$1,179.18	$1,757.72	$1,942.27
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 $1,014.49 / $1,364.16 / $1,954.41	Professional		$1,014.49	$1,364.16	$1,954.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.36 / $1,589.26 / $5,339.81	Professional		$1,005.36	$1,589.26	$5,339.81
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 $1,114.58 / $1,188.15 / $1,291.28	Professional		$1,114.58	$1,188.15	$1,291.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,489.94	Professional		$32.34	$32.34	$1,489.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $984.16 / $1,418.60 / $2,216.16	Professional		$984.16	$1,418.60	$2,216.16