Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,548.13 / $8,912.51	Facility		$1,023.29	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $2,187.76	Professional		$851.14	$1,047.13	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $21,379.62	Facility		$4,168.69	$5,128.61	$21,379.62
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 $954.99 / $1,412.54 / $1,995.26	Professional		$954.99	$1,412.54	$1,995.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $4,786.30	Professional		$1,023.29	$1,698.24	$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 $1,122.02 / $1,230.27 / $1,348.96	Professional		$1,122.02	$1,230.27	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,023.29	Professional		$32.36	$33.11	$1,023.29
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 $851.14 / $1,202.26 / $2,041.74	Professional		$851.14	$1,202.26	$2,041.74