Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,884.03 / $7,762.47	Facility		$1,047.13	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $2,454.71	Professional		$891.25	$1,071.52	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $22,908.68	Facility		$3,715.35	$5,011.87	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,089.30	Professional		$1,258.93	$1,737.80	$2,089.30
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 $954.99 / $1,412.54 / $2,137.96	Professional		$954.99	$1,412.54	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $4,677.35	Professional		$1,096.48	$1,737.80	$4,677.35
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 $1,174.90 / $1,288.25 / $1,445.44	Professional		$1,174.90	$1,288.25	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,096.48	Professional		$32.36	$33.11	$1,096.48
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 $912.01 / $1,230.27 / $2,137.96	Professional		$912.01	$1,230.27	$2,137.96