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 $724.44 / $870.96 / $1,862.09	Professional		$724.44	$870.96	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $18,620.87 / $22,387.21	Facility		$9,120.11	$18,620.87	$22,387.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,737.80	Professional		$758.58	$1,174.90	$1,737.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $3,630.78	Professional		$891.25	$1,412.54	$3,630.78
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 $977.24 / $1,047.13 / $1,174.90	Professional		$977.24	$1,047.13	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $891.25	Professional		$32.36	$33.11	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,606.93 / $12,882.50	Facility		$2,137.96	$6,606.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,737.80	Professional		$758.58	$977.24	$1,737.80