Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,097.80 / $3,630.00 / $10,353.93	Facility		$1,097.80	$3,630.00	$10,353.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.27 / $1,097.80 / $2,149.94	Professional		$924.27	$1,097.80	$2,149.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $12,808.44 / $25,670.33	Facility		$8,538.45	$12,808.44	$25,670.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,310.11 / $1,811.59 / $2,207.15	Professional		$1,310.11	$1,811.59	$2,207.15
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 $1,096.55 / $1,579.01 / $2,261.21	Professional		$1,096.55	$1,579.01	$2,261.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,251.23 / $1,817.39 / $4,972.97	Professional		$1,251.23	$1,817.39	$4,972.97
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 $1,251.26 / $1,366.89 / $1,520.52	Professional		$1,251.26	$1,366.89	$1,520.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,719.36	Professional		$32.34	$32.34	$1,719.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,820.00 / $12,241.00	Facility		$2,100.00	$5,820.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.16 / $1,386.27 / $2,355.59	Professional		$1,022.16	$1,386.27	$2,355.59