Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,073.80 / $9,772.37	Facility		$1,122.02	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,659.59	Professional		$691.83	$831.76	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,709.64 / $16,595.87	Facility		$7,244.36	$8,709.64	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,318.26	Professional		$891.25	$1,230.27	$1,318.26
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 $676.08 / $1,023.29 / $1,621.81	Professional		$676.08	$1,023.29	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $3,467.37	Professional		$758.58	$1,258.93	$3,467.37
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 $912.01 / $933.25 / $1,023.29	Professional		$912.01	$933.25	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,365.16 / $7,585.78	Facility		$1,513.56	$4,365.16	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,548.82	Professional		$691.83	$954.99	$1,548.82