Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.01 / $1,798.43 / $5,549.00	Facility		$1,017.01	$1,798.43	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.50 / $1,017.01 / $1,798.43	Professional		$795.50	$1,017.01	$1,798.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,061.15 / $12,965.04 / $25,962.49	Facility		$6,061.15	$12,965.04	$25,962.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,436.90 / $1,660.36 / $2,777.57	Professional		$1,436.90	$1,660.36	$2,777.57
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 $925.63 / $1,492.16 / $1,967.44	Professional		$925.63	$1,492.16	$1,967.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,019.61 / $1,584.43 / $3,841.84	Professional		$1,019.61	$1,584.43	$3,841.84
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 $1,045.89 / $1,245.26 / $1,436.90	Professional		$1,045.89	$1,245.26	$1,436.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,657.97	Professional		$32.34	$32.34	$1,657.97
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 $962.87 / $1,449.53 / $2,185.29	Professional		$962.87	$1,449.53	$2,185.29