Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,801.89 / $12,882.50	Facility		$1,202.26	$3,801.89	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $2,398.83	Professional		$851.14	$1,202.26	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,912.51 / $20,417.38	Facility		$7,244.36	$8,912.51	$20,417.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $2,398.83	Professional		$1,096.48	$1,905.46	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,187.76	Professional		$933.25	$1,412.54	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $4,365.16	Professional		$1,096.48	$1,819.70	$4,365.16
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 $1,122.02 / $1,174.90 / $1,621.81	Professional		$1,122.02	$1,174.90	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,380.38	Professional		$32.36	$33.11	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,302.69	Facility		$2,137.96	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,137.96	Professional		$891.25	$1,258.93	$2,137.96