Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $7,762.47	Facility		$1,023.29	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,995.26	Professional		$741.31	$933.25	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $19,498.45	Facility		$4,168.69	$5,128.61	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,737.80	Professional		$1,047.13	$1,445.44	$1,737.80
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 $812.83 / $1,202.26 / $1,778.28	Professional		$812.83	$1,202.26	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $3,630.78	Professional		$912.01	$1,445.44	$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 $1,023.29 / $1,096.48 / $1,202.26	Professional		$1,023.29	$1,096.48	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $954.99	Professional		$32.36	$33.11	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $7,585.78	Facility		$1,513.56	$3,630.78	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,737.80	Professional		$758.58	$1,023.29	$1,737.80