Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,889.88 / $5,430.00	Facility		$1,017.00	$1,889.88	$5,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.43 / $1,076.74 / $1,889.88	Professional		$831.43	$1,076.74	$1,889.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,417.12 / $13,726.48 / $27,487.27	Facility		$6,417.12	$13,726.48	$27,487.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,354.21 / $1,754.70 / $1,937.20	Professional		$1,354.21	$1,754.70	$1,937.20
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 $936.43 / $1,518.54 / $2,171.94	Professional		$936.43	$1,518.54	$2,171.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.27 / $1,722.03 / $4,511.72	Professional		$1,076.27	$1,722.03	$4,511.72
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 $1,111.58 / $1,316.85 / $1,518.54	Professional		$1,111.58	$1,316.85	$1,518.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,717.12	Professional		$32.34	$32.34	$1,717.12
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $2,800.00 / $7,384.00	Facility		$800.00	$2,800.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $934.98 / $1,307.21 / $2,289.15	Professional		$934.98	$1,307.21	$2,289.15