Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,073.80 / $9,772.37	Facility		$1,258.93	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $3,388.44	Professional		$1,318.26	$1,621.81	$3,388.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,623.41 / $34,673.69	Facility		$4,168.69	$5,623.41	$34,673.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,162.28	Professional		$1,862.09	$2,570.40	$3,162.28
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 $1,380.38 / $2,089.30 / $3,090.30	Professional		$1,380.38	$2,089.30	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $6,456.54	Professional		$1,659.59	$2,630.27	$6,456.54
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 $1,819.70 / $1,949.84 / $2,187.76	Professional		$1,819.70	$1,949.84	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,659.59	Professional		$32.36	$33.11	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,691.53 / $5,128.61	Facility		$1,096.48	$2,691.53	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $3,090.30	Professional		$1,348.96	$1,778.28	$3,090.30