Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.69 / $3,221.00 / $9,691.00	Facility		$1,147.69	$3,221.00	$9,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.69 / $1,147.69 / $2,109.64	Professional		$948.69	$1,147.69	$2,109.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,563.78 / $13,072.07 / $26,837.08	Facility		$8,563.78	$13,072.07	$26,837.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,368.33 / $1,892.08 / $2,306.66	Professional		$1,368.33	$1,892.08	$2,306.66
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 $1,121.00 / $1,648.28 / $2,387.88	Professional		$1,121.00	$1,648.28	$2,387.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,282.68 / $1,879.05 / $5,570.60	Professional		$1,282.68	$1,879.05	$5,570.60
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 $1,318.58 / $1,428.52 / $1,588.08	Professional		$1,318.58	$1,428.52	$1,588.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,795.75	Professional		$32.34	$32.34	$1,795.75
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 $1,040.68 / $1,430.58 / $2,483.96	Professional		$1,040.68	$1,430.58	$2,483.96