Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.31 / $2,235.00 / $5,405.00	Facility		$1,088.31	$2,235.00	$5,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.61 / $1,184.63 / $1,719.05	Professional		$974.61	$1,184.63	$1,719.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,210.13 / $10,252.61 / $22,362.25	Facility		$3,210.13	$10,252.61	$22,362.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,104.68 / $1,565.62 / $1,713.14	Professional		$1,104.68	$1,565.62	$1,713.14
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 $839.59 / $1,262.35 / $1,873.82	Professional		$839.59	$1,262.35	$1,873.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $874.49 / $1,467.00 / $4,146.27	Professional		$874.49	$1,467.00	$4,146.27
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 $1,167.53 / $1,178.83 / $1,282.08	Professional		$1,167.53	$1,178.83	$1,282.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,449.74	Professional		$32.34	$32.34	$1,449.74
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 $848.43 / $1,137.88 / $2,007.40	Professional		$848.43	$1,137.88	$2,007.40