Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.52 / $2,235.00 / $5,405.00	Facility		$1,084.52	$2,235.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $972.04 / $1,135.44 / $1,712.41	Professional		$972.04	$1,135.44	$1,712.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,138.27 / $10,216.94 / $22,284.43	Facility		$3,138.27	$10,216.94	$22,284.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,104.06 / $1,564.74 / $1,713.43	Professional		$1,104.06	$1,564.74	$1,713.43
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 $920.05 / $1,269.73 / $1,872.77	Professional		$920.05	$1,269.73	$1,872.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $874.55 / $1,466.18 / $4,163.49	Professional		$874.55	$1,466.18	$4,163.49
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 $1,165.10 / $1,179.04 / $1,281.36	Professional		$1,165.10	$1,179.04	$1,281.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,448.93	Professional		$32.34	$32.34	$1,448.93
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $963.00 / $3,686.00	Facility		$150.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $889.83 / $1,180.46 / $2,075.21	Professional		$889.83	$1,180.46	$2,075.21