Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,466.84 / $14,125.38	Facility		$1,148.15	$4,466.84	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $2,041.74	Professional		$776.25	$912.01	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,912.51 / $18,197.01	Facility		$7,244.36	$8,912.51	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,778.28	Professional		$812.83	$1,202.26	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $3,630.78	Professional		$891.25	$1,412.54	$3,630.78
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 $1,023.29 / $1,047.13 / $1,148.15	Professional		$1,023.29	$1,047.13	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $870.96	Professional		$32.36	$33.11	$870.96
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 $776.25 / $1,047.13 / $1,778.28	Professional		$776.25	$1,047.13	$1,778.28