Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $7,762.47	Facility		$1,023.29	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,584.89	Professional		$602.56	$724.44	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $15,488.17	Facility		$4,168.69	$5,128.61	$15,488.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,445.44	Professional		$851.14	$1,174.90	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,445.44	Professional		$660.69	$977.24	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $3,388.44	Professional		$758.58	$1,202.26	$3,388.44
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 $831.76 / $891.25 / $977.24	Professional		$831.76	$891.25	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,412.54	Professional		$630.96	$831.76	$1,412.54