Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,033.05 / $2,232.00 / $5,405.00	Facility		$1,033.05	$2,232.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $1,130.91 / $1,629.32	Professional		$893.00	$1,130.91	$1,629.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,992.33 / $9,732.00 / $21,226.74	Facility		$4,992.33	$9,732.00	$21,226.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,037.15 / $1,469.93 / $1,599.98	Professional		$1,037.15	$1,469.93	$1,599.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $709.00 / $735.00	Facility		$709.00	$709.00	$735.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.87 / $1,135.57 / $1,682.97	Professional		$833.87	$1,135.57	$1,682.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $816.34 / $1,355.02 / $3,597.39	Professional		$816.34	$1,355.02	$3,597.39
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 $1,100.96 / $1,101.33 / $1,203.72	Professional		$1,100.96	$1,101.33	$1,203.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,361.13	Professional		$32.34	$32.34	$1,361.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $4,803.00 / $8,995.00	Facility		$1,152.00	$4,803.00	$8,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.52 / $1,040.64 / $1,793.24	Professional		$765.52	$1,040.64	$1,793.24