Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $9,332.54	Facility		$1,202.26	$2,884.03	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,754.23	Professional		$1,122.02	$1,445.44	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,232.93 / $24,547.09	Facility		$6,025.60	$10,232.93	$24,547.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $3,467.37	Professional		$1,698.24	$1,698.24	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,022.64 / $13,182.57	Facility		$7,413.10	$12,022.64	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,630.27	Professional		$1,122.02	$1,737.80	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $5,495.41	Professional		$1,230.27	$1,995.26	$5,495.41
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 / $1,698.24	Professional		$1,445.44	$1,548.82	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,623.41 / $9,772.37	Facility		$1,698.24	$5,623.41	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $2,691.53	Professional		$1,258.93	$1,621.81	$2,691.53