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 / $9,332.54	Facility		$1,023.29	$2,884.03	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,659.59	Professional		$630.96	$776.25	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,128.61 / $16,595.87	Facility		$4,265.80	$5,128.61	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $977.24 / $1,348.96	Professional		$912.01	$977.24	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,584.89	Professional		$691.83	$1,047.13	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $5,888.44	Professional		$812.83	$1,288.25	$5,888.44
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 $891.25 / $954.99 / $1,047.13	Professional		$891.25	$954.99	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $776.25	Professional		$32.36	$33.11	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $7,585.78	Facility		$1,513.56	$3,630.78	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,584.89	Professional		$691.83	$912.01	$1,584.89