Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.15 / $2,755.00 / $6,614.00	Facility		$1,004.15	$2,755.00	$6,614.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.81 / $1,004.15 / $1,697.36	Professional		$891.81	$1,004.15	$1,697.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,186.42 / $18,283.80 / $25,191.02	Facility		$10,186.42	$18,283.80	$25,191.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,854.79 / $1,854.79 / $1,854.79	Professional		$1,854.79	$1,854.79	$1,854.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,951.00 / $7,469.00	Facility		$875.00	$6,951.00	$7,469.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.69 / $1,280.97 / $1,837.56	Professional		$886.69	$1,280.97	$1,837.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $960.08 / $1,518.18 / $3,864.68	Professional		$960.08	$1,518.18	$3,864.68
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 $1,065.53 / $1,134.64 / $1,233.52	Professional		$1,065.53	$1,134.64	$1,233.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,423.29	Professional		$32.34	$32.34	$1,423.29
United Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $1,900.00 / $4,342.00	Facility		$553.00	$1,900.00	$4,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $953.39 / $1,240.33 / $2,016.67	Professional		$953.39	$1,240.33	$2,016.67