Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,090.30 / $9,332.54	Facility		$1,202.26	$3,090.30	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $4,570.88	Professional		$1,479.11	$1,905.46	$4,570.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $11,220.18 / $37,153.52	Facility		$9,332.54	$11,220.18	$37,153.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $3,467.37	Professional		$2,041.74	$2,818.38	$3,467.37
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 $1,621.81 / $2,398.83 / $3,467.37	Professional		$1,621.81	$2,398.83	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $11,748.98	Professional		$1,819.70	$3,090.30	$11,748.98
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 $1,949.84 / $2,137.96 / $2,398.83	Professional		$1,949.84	$2,137.96	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,778.28	Professional		$32.36	$33.11	$1,778.28
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 $1,513.56 / $2,041.74 / $3,467.37	Professional		$1,513.56	$2,041.74	$3,467.37