Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $2,235.00 / $5,405.00	Facility		$1,129.00	$2,235.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.09 / $1,275.58 / $1,849.64	Professional		$1,047.09	$1,275.58	$1,849.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,992.33 / $11,039.37 / $24,078.26	Facility		$4,992.33	$11,039.37	$24,078.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,189.58 / $1,685.95 / $1,842.71	Professional		$1,189.58	$1,685.95	$1,842.71
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 $924.84 / $1,359.39 / $2,017.84	Professional		$924.84	$1,359.39	$2,017.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $940.41 / $1,560.61 / $4,444.62	Professional		$940.41	$1,560.61	$4,444.62
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 $1,257.67 / $1,267.99 / $1,380.63	Professional		$1,257.67	$1,267.99	$1,380.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,561.17	Professional		$32.34	$32.34	$1,561.17
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 $911.68 / $1,206.22 / $2,100.16	Professional		$911.68	$1,206.22	$2,100.16