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 $676.08 / $851.14 / $1,819.70	Professional		$676.08	$851.14	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,471.29 / $17,378.01	Facility		$8,511.38	$10,471.29	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,318.26	Professional		$954.99	$1,318.26	$1,318.26
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 $741.31 / $1,122.02 / $1,621.81	Professional		$741.31	$1,122.02	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $3,467.37	Professional		$851.14	$1,348.96	$3,467.37
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 $933.25 / $1,000.00 / $1,122.02	Professional		$933.25	$1,000.00	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $851.14	Professional		$32.36	$33.11	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,495.41 / $9,772.37	Facility		$1,778.28	$5,495.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,621.81	Professional		$724.44	$954.99	$1,621.81