Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.13 / $2,263.21 / $3,407.77	Facility		$1,539.13	$2,263.21	$3,407.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.58 / $1,557.88 / $2,893.76	Professional		$1,215.58	$1,557.88	$2,893.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,462.43 / $13,512.51 / $29,472.51	Facility		$4,462.43	$13,512.51	$29,472.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,516.91 / $2,243.59 / $3,201.80	Professional		$1,516.91	$2,243.59	$3,201.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $1,310.40 / $1,462.90	Facility		$875.00	$1,310.40	$1,462.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,435.53 / $2,099.09 / $3,303.12	Professional		$1,435.53	$2,099.09	$3,303.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,677.82 / $2,446.91 / $8,642.91	Professional		$1,677.82	$2,446.91	$8,642.91
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 $1,551.78 / $1,634.66 / $2,151.12	Professional		$1,551.78	$1,634.66	$2,151.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,432.42	Professional		$32.34	$32.34	$2,432.42
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 $1,572.45 / $2,192.89 / $3,834.59	Professional		$1,572.45	$2,192.89	$3,834.59