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 $891.25 / $1,047.13 / $2,187.76	Professional		$891.25	$1,047.13	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $20,892.96	Facility		$4,168.69	$5,128.61	$20,892.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,041.74	Professional		$1,148.15	$1,584.89	$2,041.74
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 $912.01 / $1,348.96 / $2,089.30	Professional		$912.01	$1,348.96	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $4,265.80	Professional		$1,047.13	$1,698.24	$4,265.80
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 $1,202.26 / $1,258.93 / $1,348.96	Professional		$1,202.26	$1,258.93	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $8,912.51	Facility		$1,778.28	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $2,089.30	Professional		$891.25	$1,174.90	$2,089.30