Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.58 / $3,035.00 / $7,125.00	Facility		$1,095.58	$3,035.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.18 / $1,189.64 / $1,746.41	Professional		$981.18	$1,189.64	$1,746.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,138.27 / $10,321.01 / $22,511.42	Facility		$3,138.27	$10,321.01	$22,511.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,113.71 / $1,578.43 / $1,727.76	Professional		$1,113.71	$1,578.43	$1,727.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $996.00 / $1,033.00	Facility		$996.00	$996.00	$1,033.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $943.92 / $1,280.33 / $1,889.14	Professional		$943.92	$1,280.33	$1,889.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $881.81 / $1,479.01 / $4,186.43	Professional		$881.81	$1,479.01	$4,186.43
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 $1,175.53 / $1,188.89 / $1,292.58	Professional		$1,175.53	$1,188.89	$1,292.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,461.61	Professional		$32.34	$32.34	$1,461.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $890.04 / $1,225.81 / $2,090.87	Professional		$890.04	$1,225.81	$2,090.87