Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.89 / $2,800.00 / $6,618.22	Facility		$1,082.89	$2,800.00	$6,618.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.11 / $1,082.89 / $1,961.61	Professional		$928.11	$1,082.89	$1,961.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,624.54 / $11,312.24 / $25,382.29	Facility		$6,624.54	$11,312.24	$25,382.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,291.29 / $1,776.65 / $1,980.02	Professional		$1,291.29	$1,776.65	$1,980.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $11,880.00 / $12,991.00	Facility		$875.00	$11,880.00	$12,991.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,095.70 / $1,556.32 / $2,163.63	Professional		$1,095.70	$1,556.32	$2,163.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,128.13 / $1,753.72 / $4,081.97	Professional		$1,128.13	$1,753.72	$4,081.97
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 $1,168.39 / $1,333.24 / $1,498.68	Professional		$1,168.39	$1,333.24	$1,498.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,729.25	Professional		$32.34	$32.34	$1,729.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,041.15 / $1,432.77 / $2,376.27	Professional		$1,041.15	$1,432.77	$2,376.27