Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,548.13 / $9,772.37	Facility		$1,122.02	$3,548.13	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,238.72	Professional		$870.96	$1,047.13	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $18,620.87 / $23,988.33	Facility		$10,964.78	$18,620.87	$23,988.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,041.74	Professional		$1,096.48	$1,698.24	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $9,772.37 / $10,000.00	Facility		$5,754.40	$9,772.37	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $2,089.30	Professional		$954.99	$1,412.54	$2,089.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $4,365.16	Professional		$1,071.52	$1,698.24	$4,365.16
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 / $1,258.93 / $1,412.54	Professional		$1,174.90	$1,258.93	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,071.52	Professional		$32.36	$33.11	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,943.28 / $16,982.44	Facility		$2,570.40	$7,943.28	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,089.30	Professional		$912.01	$1,230.27	$2,089.30