Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.18 / $3,174.96 / $7,579.00	Facility		$1,113.18	$3,174.96	$7,579.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.87 / $1,113.18 / $2,214.34	Professional		$942.87	$1,113.18	$2,214.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,538.45 / $12,987.76 / $26,030.01	Facility		$8,538.45	$12,987.76	$26,030.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,355.35 / $1,874.14 / $2,281.73	Professional		$1,355.35	$1,874.14	$2,281.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $8,957.98 / $10,000.51	Facility		$709.00	$8,957.98	$10,000.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,602.09 / $2,336.98	Professional		$1,094.98	$1,602.09	$2,336.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,270.52 / $1,858.75 / $4,538.34	Professional		$1,270.52	$1,858.75	$4,538.34
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 $1,305.02 / $1,413.09 / $1,573.03	Professional		$1,305.02	$1,413.09	$1,573.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,778.73	Professional		$32.34	$32.34	$1,778.73
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 $1,041.81 / $1,401.40 / $2,426.53	Professional		$1,041.81	$1,401.40	$2,426.53