Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,570.40 / $7,762.47	Facility		$1,023.29	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,445.44	Professional		$549.54	$676.08	$1,445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $10,471.29 / $13,803.84	Facility		$6,456.54	$10,471.29	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,288.25	Professional		$741.31	$1,047.13	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,348.96	Professional		$602.56	$891.25	$1,348.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $2,951.21	Professional		$676.08	$1,071.52	$2,951.21
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 $758.58 / $794.33 / $870.96	Professional		$758.58	$794.33	$870.96
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 $1,513.56 / $4,365.16 / $7,585.78	Facility		$1,513.56	$4,365.16	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,318.26	Professional		$588.84	$794.33	$1,318.26