Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,303.72 / $2,918.34 / $3,486.22	Facility		$1,303.72	$2,918.34	$3,486.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.61 / $1,627.68 / $2,918.34	Professional		$1,229.61	$1,627.68	$2,918.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,462.43 / $31,527.06 / $68,764.50	Facility		$4,462.43	$31,527.06	$68,764.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,798.64 / $5,455.61 / $5,742.75	Professional		$4,798.64	$5,455.61	$5,742.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,470.27 / $1,641.38	Facility		$875.00	$1,470.27	$1,641.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,481.31 / $2,161.36 / $3,485.78	Professional		$1,481.31	$2,161.36	$3,485.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,722.12 / $2,571.81 / $6,866.22	Professional		$1,722.12	$2,571.81	$6,866.22
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 $1,595.59 / $1,678.09 / $2,270.55	Professional		$1,595.59	$1,678.09	$2,270.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,567.46	Professional		$32.34	$32.34	$2,567.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,628.91 / $2,284.00 / $4,052.96	Professional		$1,628.91	$2,284.00	$4,052.96