Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.85 / $1,842.00 / $5,549.00	Facility		$1,003.85	$1,842.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.82 / $1,003.85 / $1,770.27	Professional		$738.82	$1,003.85	$1,770.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,035.01 / $12,909.12 / $25,850.51	Facility		$6,035.01	$12,909.12	$25,850.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,217.19 / $1,595.07 / $1,767.73	Professional		$1,217.19	$1,595.07	$1,767.73
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 $939.03 / $1,412.67 / $1,919.67	Professional		$939.03	$1,412.67	$1,919.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.68 / $1,630.42 / $4,598.60	Professional		$1,052.68	$1,630.42	$4,598.60
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 $1,059.77 / $1,244.07 / $1,412.67	Professional		$1,059.77	$1,244.07	$1,412.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,630.01	Professional		$32.34	$32.34	$1,630.01
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 $878.59 / $1,314.21 / $2,198.87	Professional		$878.59	$1,314.21	$2,198.87