Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,715.35 / $9,772.37	Facility		$1,023.29	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $1,778.28	Professional		$691.83	$851.14	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $17,378.01	Facility		$4,168.69	$5,128.61	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,621.81	Professional		$977.24	$1,348.96	$1,621.81
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 $724.44 / $1,096.48 / $1,659.59	Professional		$724.44	$1,096.48	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $3,630.78	Professional		$851.14	$1,380.38	$3,630.78
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 $933.25 / $1,000.00 / $1,122.02	Professional		$933.25	$1,000.00	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $851.14	Professional		$32.36	$33.11	$851.14
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 $724.44 / $954.99 / $1,621.81	Professional		$724.44	$954.99	$1,621.81