Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.59 / $2,989.00 / $7,123.00	Facility		$1,148.59	$2,989.00	$7,123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.04 / $1,144.73 / $2,103.91	Professional		$946.04	$1,144.73	$2,103.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.78 / $13,082.40 / $26,858.28	Facility		$8,563.78	$13,082.40	$26,858.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,371.56 / $1,896.55 / $2,310.42	Professional		$1,371.56	$1,896.55	$2,310.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.00 / $6,831.39 / $7,626.43	Facility		$996.00	$6,831.39	$7,626.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.27 / $1,653.06 / $2,376.85	Professional		$1,133.27	$1,653.06	$2,376.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,301.02 / $1,889.62 / $5,273.60	Professional		$1,301.02	$1,889.62	$5,273.60
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 $1,311.52 / $1,430.85 / $1,591.84	Professional		$1,311.52	$1,430.85	$1,591.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,800.00	Professional		$32.34	$32.34	$1,800.00
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 $1,092.01 / $1,461.79 / $2,499.50	Professional		$1,092.01	$1,461.79	$2,499.50