Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $9,772.37	Facility		$1,148.15	$3,235.94	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $2,951.21	Professional		$1,047.13	$1,905.46	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $10,471.29 / $12,589.25	Facility		$9,332.54	$10,471.29	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $2,818.38	Professional		$2,344.23	$2,818.38	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,238.72 / $2,754.23	Professional		$2,187.76	$2,238.72	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,754.23 / $3,630.78	Professional		$1,445.44	$2,754.23	$3,630.78
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 $2,344.23 / $2,344.23 / $2,630.27	Professional		$2,344.23	$2,344.23	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,951.21	Professional		$2,754.23	$2,754.23	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,495.41 / $9,772.37	Facility		$1,778.28	$5,495.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,380.38 / $2,951.21	Professional		$501.19	$1,380.38	$2,951.21