Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,073.80 / $9,772.37	Facility		$1,122.02	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,630.27	Professional		$891.25	$1,122.02	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $24,547.09 / $30,199.52	Facility		$10,964.78	$24,547.09	$30,199.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,089.30	Professional		$1,230.27	$1,698.24	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27,542.29 / $27,542.29 / $27,542.29	Facility		$27,542.29	$27,542.29	$27,542.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,137.96	Professional		$954.99	$1,445.44	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $4,365.16	Professional		$1,096.48	$1,737.80	$4,365.16
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 $1,174.90 / $1,288.25 / $1,445.44	Professional		$1,174.90	$1,288.25	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,071.52	Professional		$32.36	$33.11	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $9,772.37 / $26,302.68	Facility		$3,311.31	$9,772.37	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,137.96	Professional		$933.25	$1,230.27	$2,137.96