Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,073.80 / $9,772.37	Facility		$1,148.15	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,754.23	Professional		$891.25	$1,174.90	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,248.07 / $23,442.29	Facility		$4,168.69	$5,248.07	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,137.96	Professional		$1,288.25	$1,778.28	$2,137.96
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 $851.14 / $1,380.38 / $2,137.96	Professional		$851.14	$1,380.38	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,778.28 / $4,897.79	Professional		$977.24	$1,778.28	$4,897.79
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 / $1,479.11	Professional		$1,230.27	$1,348.96	$1,479.11
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 $1,096.48 / $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 $912.01 / $1,202.26 / $2,137.96	Professional		$912.01	$1,202.26	$2,137.96