Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.30 / $2,010.84 / $5,549.00	Facility		$1,135.30	$2,010.84	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.29 / $1,135.30 / $2,010.84	Professional		$887.29	$1,135.30	$2,010.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,462.43 / $11,144.24 / $25,924.83	Facility		$4,462.43	$11,144.24	$25,924.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,601.77 / $1,850.88 / $3,096.28	Professional		$1,601.77	$1,850.88	$3,096.28
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 $803.80 / $1,663.38 / $2,230.63	Professional		$803.80	$1,663.38	$2,230.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.68 / $1,760.62 / $4,272.33	Professional		$1,032.68	$1,760.62	$4,272.33
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 $1,157.27 / $1,387.15 / $1,601.77	Professional		$1,157.27	$1,387.15	$1,601.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,848.20	Professional		$32.34	$32.34	$1,848.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.99 / $1,423.20 / $2,632.79	Professional		$1,019.99	$1,423.20	$2,632.79