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 $537.03 / $660.69 / $1,445.44	Professional		$537.03	$660.69	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $13,803.84	Facility		$4,073.80	$4,897.79	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,288.25	Professional		$776.25	$1,071.52	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,288.25	Professional		$575.44	$851.14	$1,288.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $2,754.23	Professional		$676.08	$1,071.52	$2,754.23
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 $741.31 / $794.33 / $891.25	Professional		$741.31	$794.33	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,288.25	Professional		$562.34	$741.31	$1,288.25