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 $707.95 / $870.96 / $1,819.70	Professional		$707.95	$870.96	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $10,471.29 / $17,782.79	Facility		$8,709.64	$10,471.29	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,659.59	Professional		$977.24	$1,348.96	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,659.59	Professional		$758.58	$1,148.15	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $3,467.37	Professional		$870.96	$1,380.38	$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 $954.99 / $1,023.29 / $1,148.15	Professional		$954.99	$1,023.29	$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 $1,778.28 / $5,495.41 / $9,772.37	Facility		$1,778.28	$5,495.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,659.59	Professional		$724.44	$977.24	$1,659.59