Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $9,332.54	Facility		$1,023.29	$2,884.03	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,258.93	Professional		$467.74	$660.69	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,471.29 / $12,589.25	Facility		$5,370.32	$10,471.29	$12,589.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,047.13	Professional		$562.34	$831.76	$1,047.13
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 $524.81 / $741.31 / $1,230.27	Professional		$524.81	$741.31	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $3,311.31	Professional		$549.54	$954.99	$3,311.31
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 $630.96 / $645.65 / $691.83	Professional		$630.96	$645.65	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,495.41 / $9,772.37	Facility		$1,778.28	$5,495.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,122.02	Professional		$489.78	$724.44	$1,122.02