Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.25 / $2,170.42 / $5,549.00	Facility		$1,044.25	$2,170.42	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.93 / $1,044.25 / $1,806.36	Professional		$927.93	$1,044.25	$1,806.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,494.10 / $10,593.22 / $24,643.01	Facility		$4,494.10	$10,593.22	$24,643.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,171.81 / $1,746.72 / $1,929.87	Professional		$1,171.81	$1,746.72	$1,929.87
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 $1,008.02 / $1,357.96 / $1,942.93	Professional		$1,008.02	$1,357.96	$1,942.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $998.94 / $1,579.33 / $4,963.50	Professional		$998.94	$1,579.33	$4,963.50
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 $1,107.38 / $1,180.57 / $1,283.20	Professional		$1,107.38	$1,180.57	$1,283.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,480.62	Professional		$32.34	$32.34	$1,480.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.60 / $1,408.97 / $2,463.76	Professional		$979.60	$1,408.97	$2,463.76