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 $676.08 / $851.14 / $1,737.80	Professional		$676.08	$851.14	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $16,982.44	Facility		$4,168.69	$5,128.61	$16,982.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,584.89	Professional		$933.25	$1,288.25	$1,584.89
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 $758.58 / $1,122.02 / $1,621.81	Professional		$758.58	$1,122.02	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,412.54 / $3,801.89	Professional		$831.76	$1,412.54	$3,801.89
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 $912.01 / $977.24 / $1,096.48	Professional		$912.01	$977.24	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $831.76	Professional		$32.36	$33.11	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,302.69	Facility		$2,137.96	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,659.59	Professional		$707.95	$1,000.00	$1,659.59