Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.39 / $1,916.41 / $5,549.00	Facility		$1,059.39	$1,916.41	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.49 / $1,059.39 / $2,014.78	Professional		$929.49	$1,059.39	$2,014.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,480.55 / $13,862.16 / $27,758.97	Facility		$6,480.55	$13,862.16	$27,758.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,295.42 / $1,742.14 / $2,069.36	Professional		$1,295.42	$1,742.14	$2,069.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,010.79 / $1,538.43 / $2,232.03	Professional		$1,010.79	$1,538.43	$2,232.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,145.64 / $1,766.35 / $4,600.50	Professional		$1,145.64	$1,766.35	$4,600.50
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 $1,276.51 / $1,353.94 / $1,481.45	Professional		$1,276.51	$1,353.94	$1,481.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,709.37	Professional		$32.34	$32.34	$1,709.37
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.58 / $1,454.38 / $2,455.26	Professional		$1,096.58	$1,454.38	$2,455.26