Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,884.03 / $7,762.47	Facility		$1,047.13	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,187.76	Professional		$891.25	$1,096.48	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $22,908.68	Facility		$4,168.69	$5,128.61	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,089.30	Professional		$1,230.27	$1,737.80	$2,089.30
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 $1,000.00 / $1,479.11 / $2,137.96	Professional		$1,000.00	$1,479.11	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $5,011.87	Professional		$1,096.48	$1,778.28	$5,011.87
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 $1,202.26 / $1,288.25 / $1,445.44	Professional		$1,202.26	$1,288.25	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,096.48	Professional		$32.36	$33.11	$1,096.48
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 $933.25 / $1,288.25 / $2,187.76	Professional		$933.25	$1,288.25	$2,187.76