Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.25 / $2,235.00 / $5,405.00	Facility		$1,075.25	$2,235.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.97 / $1,183.48 / $1,695.20	Professional		$929.97	$1,183.48	$1,695.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,992.33 / $10,129.56 / $22,093.85	Facility		$4,992.33	$10,129.56	$22,093.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,081.19 / $1,532.34 / $1,668.40	Professional		$1,081.19	$1,532.34	$1,668.40
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 $884.81 / $1,235.52 / $1,824.89	Professional		$884.81	$1,235.52	$1,824.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.02 / $1,412.98 / $3,861.31	Professional		$851.02	$1,412.98	$3,861.31
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 $1,146.11 / $1,148.04 / $1,254.83	Professional		$1,146.11	$1,148.04	$1,254.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,418.92	Professional		$32.34	$32.34	$1,418.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,000.00 / $8,981.00	Facility		$1,690.00	$5,000.00	$8,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $826.67 / $1,103.83 / $1,884.54	Professional		$826.67	$1,103.83	$1,884.54