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 $537.03 / $676.08 / $1,348.96	Professional		$537.03	$676.08	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $14,125.38	Facility		$4,073.80	$4,897.79	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,288.25	Professional		$758.58	$1,071.52	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,318.26	Professional		$588.84	$891.25	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $3,311.31	Professional		$676.08	$1,071.52	$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 $741.31 / $794.33 / $891.25	Professional		$741.31	$794.33	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,165.95 / $14,125.38	Facility		$2,570.40	$6,165.95	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,288.25	Professional		$575.44	$758.58	$1,288.25