Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,073.80 / $9,772.37	Facility		$1,122.02	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,778.28	Professional		$707.95	$912.01	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $22,387.21 / $30,199.52	Facility		$8,912.51	$22,387.21	$30,199.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,659.59	Professional		$1,000.00	$1,380.38	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $28,840.32	Facility		$28,840.32	$28,840.32	$28,840.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,698.24	Professional		$758.58	$1,122.02	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $3,467.37	Professional		$870.96	$1,380.38	$3,467.37
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 $954.99 / $1,047.13 / $1,148.15	Professional		$954.99	$1,047.13	$1,148.15
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 $3,311.31 / $9,772.37 / $26,302.68	Facility		$3,311.31	$9,772.37	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,698.24	Professional		$741.31	$977.24	$1,698.24