Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,715.35 / $9,772.37	Facility		$1,258.93	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $3,235.94	Professional		$1,348.96	$1,621.81	$3,235.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $18,620.87 / $34,673.69	Facility		$15,848.93	$18,620.87	$34,673.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,162.28	Professional		$1,862.09	$2,570.40	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Facility		$17,378.01	$17,378.01	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $3,311.31	Professional		$1,548.82	$2,187.76	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $7,079.46	Professional		$1,659.59	$2,951.21	$7,079.46
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 $1,819.70 / $1,949.84 / $2,187.76	Professional		$1,819.70	$1,949.84	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,621.81	Professional		$32.36	$33.11	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $9,772.37 / $25,703.96	Facility		$2,570.40	$9,772.37	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $3,311.31	Professional		$1,412.54	$1,995.26	$3,311.31