Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,344.23 / $7,762.47	Facility		$741.31	$2,344.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $323.59	Professional		$173.78	$263.03	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $18,620.87 / $22,387.21	Facility		$16,595.87	$18,620.87	$22,387.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $21,877.62 / $21,877.62	Facility		$21,877.62	$21,877.62	$21,877.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $338.84	Professional		$288.40	$288.40	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $346.74 / $549.54	Professional		$120.23	$346.74	$549.54
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 $1,513.56 / $1,513.56 / $2,511.89	Professional		$1,513.56	$1,513.56	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,943.28 / $16,982.44	Facility		$2,570.40	$7,943.28	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $562.34	Professional		$239.88	$346.74	$562.34