Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,398.83 / $7,762.47	Facility		$1,071.52	$2,398.83	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,398.83	Professional		$933.25	$1,148.15	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $23,442.29	Facility		$3,715.35	$5,011.87	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,187.76	Professional		$1,288.25	$1,778.28	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,238.72	Professional		$1,023.29	$1,479.11	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $5,248.07	Professional		$1,148.15	$1,995.26	$5,248.07
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 $1,230.27 / $1,348.96 / $1,513.56	Professional		$1,230.27	$1,348.96	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,548.13 / $6,918.31	Facility		$1,412.54	$3,548.13	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,187.76	Professional		$977.24	$1,318.26	$2,187.76