Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $7,762.47	Facility		$1,023.29	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,949.84	Professional		$758.58	$912.01	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,471.29 / $19,498.45	Facility		$8,912.51	$10,471.29	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,778.28	Professional		$1,047.13	$1,445.44	$1,778.28
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 $812.83 / $1,230.27 / $1,819.70	Professional		$812.83	$1,230.27	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,479.11 / $3,801.89	Professional		$933.25	$1,479.11	$3,801.89
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 $1,023.29 / $1,096.48 / $1,230.27	Professional		$1,023.29	$1,096.48	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,309.57 / $16,982.44	Facility		$2,570.40	$6,309.57	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,778.28	Professional		$794.33	$1,047.13	$1,778.28