Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $7,762.47	Facility		$1,202.26	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,951.21	Professional		$1,148.15	$1,479.11	$2,951.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $30,199.52	Facility		$3,715.35	$5,011.87	$30,199.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $2,951.21	Professional		$1,737.80	$2,398.83	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,818.38	Professional		$1,202.26	$1,819.70	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,398.83 / $6,606.93	Professional		$1,380.38	$2,398.83	$6,606.93
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 $1,659.59 / $1,819.70 / $2,041.74	Professional		$1,659.59	$1,819.70	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,513.56	Professional		$32.36	$33.11	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $5,128.61	Facility		$1,096.48	$2,398.83	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $2,818.38	Professional		$1,096.48	$1,584.89	$2,818.38