Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,548.13 / $8,912.51	Facility		$1,023.29	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,862.09	Professional		$645.65	$812.83	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $16,595.87	Facility		$4,168.69	$5,128.61	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,513.56	Professional		$891.25	$1,230.27	$1,513.56
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 $691.83 / $1,023.29 / $1,513.56	Professional		$691.83	$1,023.29	$1,513.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $3,311.31	Professional		$794.33	$1,258.93	$3,311.31
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 $891.25 / $933.25 / $1,047.13	Professional		$891.25	$933.25	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $831.76	Professional		$32.36	$33.11	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,479.11	Professional		$660.69	$870.96	$1,479.11