Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,548.13 / $8,912.51	Facility		$1,096.48	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,344.23	Professional		$933.25	$1,096.48	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $18,620.87 / $25,118.86	Facility		$11,748.98	$18,620.87	$25,118.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,187.76	Professional		$1,288.25	$1,778.28	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,238.72	Professional		$1,000.00	$1,513.56	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $4,570.88	Professional		$1,148.15	$1,819.70	$4,570.88
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 $1,258.93 / $1,348.96 / $1,513.56	Professional		$1,258.93	$1,348.96	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,606.93 / $12,882.50	Facility		$2,137.96	$6,606.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,238.72	Professional		$954.99	$1,288.25	$2,238.72