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 / $7,762.47	Facility		$1,023.29	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,548.82	Professional		$602.56	$758.58	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,466.84 / $15,488.17	Facility		$3,715.35	$4,466.84	$15,488.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,445.44	Professional		$851.14	$1,174.90	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,412.54	Professional		$549.54	$891.25	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,148.15 / $2,454.71	Professional		$616.60	$1,148.15	$2,454.71
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 $831.76 / $891.25 / $977.24	Professional		$831.76	$891.25	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $724.44	Professional		$32.36	$33.11	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $5,128.61	Facility		$1,096.48	$2,398.83	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,445.44	Professional		$501.19	$794.33	$1,445.44