Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,548.13 / $9,772.37	Facility		$1,202.26	$3,548.13	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $3,019.95	Professional		$1,047.13	$1,288.25	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $10,964.78 / $27,542.29	Facility		$9,120.11	$10,964.78	$27,542.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $2,511.89	Professional		$1,513.56	$2,089.30	$2,511.89
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 $1,122.02 / $1,698.24 / $2,570.40	Professional		$1,122.02	$1,698.24	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $6,025.60	Professional		$1,318.26	$2,290.87	$6,025.60
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 $1,445.44 / $1,548.82 / $1,737.80	Professional		$1,445.44	$1,548.82	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,318.26	Professional		$32.36	$33.11	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,309.57 / $16,982.44	Facility		$2,570.40	$6,309.57	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,511.89	Professional		$1,122.02	$1,445.44	$2,511.89