Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,548.13 / $8,912.51	Facility		$1,023.29	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,659.59	Professional		$676.08	$812.83	$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 $977.24 / $1,318.26 / $1,318.26	Professional		$977.24	$1,318.26	$1,318.26
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 $724.44 / $1,047.13 / $1,584.89	Professional		$724.44	$1,047.13	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $3,311.31	Professional		$812.83	$1,288.25	$3,311.31
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 / $741.31	Professional		$32.36	$33.11	$741.31
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 $676.08 / $933.25 / $1,548.82	Professional		$676.08	$933.25	$1,548.82