Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $2,300.31 / $10,112.91	Facility		$1,159.00	$2,300.31	$10,112.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.57 / $1,254.66 / $2,497.55	Professional		$1,051.57	$1,254.66	$2,497.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,611.61 / $18,107.05 / $29,338.38	Facility		$12,611.61	$18,107.05	$29,338.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,501.53 / $2,076.27 / $2,529.03	Professional		$1,501.53	$2,076.27	$2,529.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $11,898.00 / $16,497.27	Facility		$709.00	$11,898.00	$16,497.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,205.33 / $1,769.49 / $2,608.92	Professional		$1,205.33	$1,769.49	$2,608.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.55 / $2,051.00 / $7,186.00	Professional		$1,407.55	$2,051.00	$7,186.00
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 $1,440.95 / $1,566.23 / $1,742.68	Professional		$1,440.95	$1,566.23	$1,742.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,970.56	Professional		$32.34	$32.34	$1,970.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,575.00 / $6,920.00 / $14,716.00	Facility		$2,575.00	$6,920.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,170.67 / $1,553.75 / $2,739.24	Professional		$1,170.67	$1,553.75	$2,739.24