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 $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 $10,964.78 / $18,620.87 / $23,988.33	Facility		$10,964.78	$18,620.87	$23,988.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,041.74	Professional		$1,230.27	$1,698.24	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Facility		$18,620.87	$18,620.87	$18,620.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,137.96	Professional		$977.24	$1,479.11	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $4,365.16	Professional		$1,071.52	$1,778.28	$4,365.16
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 $1,174.90 / $1,288.25 / $1,412.54	Professional		$1,174.90	$1,288.25	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,071.52	Professional		$32.36	$33.11	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,606.93 / $12,882.50	Facility		$2,137.96	$6,606.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,137.96	Professional		$912.01	$1,288.25	$2,137.96