Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,303.32 / $3,303.32 / $13,062.80	Facility		$3,303.32	$3,303.32	$13,062.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.45 / $3,003.39 / $5,023.97	Professional		$961.45	$3,003.39	$5,023.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,887.73 / $5,916.12 / $12,132.35	Facility		$3,887.73	$5,916.12	$12,132.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.85 / $840.52 / $1,040.59	Professional		$607.85	$840.52	$1,040.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,713.32 / $3,029.10	Facility		$875.00	$2,713.32	$3,029.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,210.86 / $6,144.79 / $7,907.20	Professional		$3,210.86	$6,144.79	$7,907.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $589.91 / $847.95 / $5,597.77	Professional		$589.91	$847.95	$5,597.77
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 $629.90 / $644.45 / $705.47	Professional		$629.90	$644.45	$705.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
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 $1,887.67 / $3,501.34 / $6,847.09	Professional		$1,887.67	$3,501.34	$6,847.09