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 $741.31 / $912.01 / $1,995.26	Professional		$741.31	$912.01	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,912.51 / $18,620.87	Facility		$7,244.36	$8,912.51	$18,620.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,737.80	Professional		$1,023.29	$1,412.54	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,778.28	Professional		$794.33	$1,174.90	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $4,677.35	Professional		$912.01	$1,445.44	$4,677.35
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 $1,000.00 / $1,071.52 / $1,174.90	Professional		$1,000.00	$1,071.52	$1,174.90
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 $758.58 / $1,023.29 / $1,737.80	Professional		$758.58	$1,023.29	$1,737.80