Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.60 / $1,942.11 / $5,549.00	Facility		$1,090.60	$1,942.11	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.18 / $1,090.60 / $1,942.11	Professional		$852.18	$1,090.60	$1,942.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,499.78 / $13,903.28 / $27,841.31	Facility		$6,499.78	$13,903.28	$27,841.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,539.03 / $1,778.38 / $2,975.01	Professional		$1,539.03	$1,778.38	$2,975.01
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 $1,010.59 / $1,598.23 / $2,173.03	Professional		$1,010.59	$1,598.23	$2,173.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.07 / $1,738.97 / $4,125.82	Professional		$1,118.07	$1,738.97	$4,125.82
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 $1,108.64 / $1,332.32 / $1,539.03	Professional		$1,108.64	$1,332.32	$1,539.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,775.81	Professional		$32.34	$32.34	$1,775.81
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 $1,033.25 / $1,484.34 / $2,352.64	Professional		$1,033.25	$1,484.34	$2,352.64