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 $870.96 / $1,071.52 / $2,398.83	Professional		$870.96	$1,071.52	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,964.78 / $22,387.21	Facility		$8,912.51	$10,964.78	$22,387.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,089.30	Professional		$1,230.27	$1,698.24	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,089.30	Professional		$954.99	$1,380.38	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $4,677.35	Professional		$1,071.52	$1,737.80	$4,677.35
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 / $1,412.54	Professional		$1,202.26	$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 / $6,025.60 / $12,302.69	Facility		$2,137.96	$6,025.60	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,995.26	Professional		$891.25	$1,174.90	$1,995.26