Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.42 / $1,927.83 / $5,549.00	Facility		$1,061.42	$1,927.83	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.41 / $1,061.42 / $1,927.83	Professional		$925.41	$1,061.42	$1,927.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,493.01 / $13,888.80 / $27,812.32	Facility		$6,493.01	$13,888.80	$27,812.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,298.85 / $1,778.56 / $2,062.46	Professional		$1,298.85	$1,778.56	$2,062.46
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 $1,074.83 / $1,542.52 / $2,234.69	Professional		$1,074.83	$1,542.52	$2,234.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.82 / $1,775.89 / $4,619.37	Professional		$1,141.82	$1,775.89	$4,619.37
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 $1,234.57 / $1,349.43 / $1,485.39	Professional		$1,234.57	$1,349.43	$1,485.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,713.92	Professional		$32.34	$32.34	$1,713.92
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 $1,100.33 / $1,558.18 / $2,376.17	Professional		$1,100.33	$1,558.18	$2,376.17