Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.78 / $3,221.00 / $8,125.00	Facility		$1,168.78	$3,221.00	$8,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.14 / $1,168.78 / $2,137.75	Professional		$963.14	$1,168.78	$2,137.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.78 / $13,293.18 / $27,330.17	Facility		$8,563.78	$13,293.18	$27,330.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,394.21 / $1,927.87 / $2,349.76	Professional		$1,394.21	$1,927.87	$2,349.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $6,831.39 / $7,626.43	Facility		$1,383.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,165.26 / $1,680.36 / $2,442.86	Professional		$1,165.26	$1,680.36	$2,442.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,322.50 / $1,928.60 / $5,382.26	Professional		$1,322.50	$1,928.60	$5,382.26
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 $1,333.31 / $1,455.21 / $1,618.12	Professional		$1,333.31	$1,455.21	$1,618.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,829.72	Professional		$32.34	$32.34	$1,829.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,978.00 / $12,442.00	Facility		$2,100.00	$5,978.00	$12,442.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,082.26 / $1,488.25 / $2,532.89	Professional		$1,082.26	$1,488.25	$2,532.89