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 $954.99 / $1,202.26 / $2,691.53	Professional		$954.99	$1,202.26	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $18,620.87 / $25,703.96	Facility		$12,022.64	$18,620.87	$25,703.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $2,238.72	Professional		$1,202.26	$1,862.09	$2,238.72
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 $1,023.29 / $1,548.82 / $2,290.87	Professional		$1,023.29	$1,548.82	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $4,786.30	Professional		$1,174.90	$1,862.09	$4,786.30
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 $1,288.25 / $1,380.38 / $1,548.82	Professional		$1,288.25	$1,380.38	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,174.90	Professional		$32.36	$33.11	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,943.28 / $16,982.44	Facility		$2,570.40	$7,943.28	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,290.87	Professional		$1,000.00	$1,318.26	$2,290.87