Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $8,511.38	Facility		$1,023.29	$2,884.03	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $3,467.37	Professional		$512.86	$812.83	$3,467.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $8,709.64 / $10,471.29	Facility		$3,981.07	$8,709.64	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,288.25	Professional		$1,071.52	$1,071.52	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,380.38	Professional		$1,122.02	$1,122.02	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,258.93 / $1,621.81	Professional		$741.31	$1,258.93	$1,621.81
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,348.96	Professional		$1,148.15	$1,258.93	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,011.87 / $9,772.37	Facility		$1,258.93	$5,011.87	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $891.25 / $1,479.11	Professional		$281.84	$891.25	$1,479.11