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 $616.60 / $776.25 / $1,778.28	Professional		$616.60	$776.25	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $15,848.93	Facility		$4,168.69	$5,128.61	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,412.54	Professional		$758.58	$1,174.90	$1,412.54
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 $676.08 / $977.24 / $1,445.44	Professional		$676.08	$977.24	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $3,311.31	Professional		$741.31	$1,174.90	$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 $851.14 / $870.96 / $977.24	Professional		$851.14	$870.96	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
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 $616.60 / $851.14 / $1,412.54	Professional		$616.60	$851.14	$1,412.54