Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,466.84 / $8,511.38	Facility		$1,148.15	$4,466.84	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $5,623.41	Professional		$2,511.89	$3,019.95	$5,623.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $30,902.95 / $58,884.37	Facility		$11,481.54	$30,902.95	$58,884.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,677.35 / $4,786.30	Professional		$3,467.37	$4,677.35	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $6,025.60	Professional		$2,137.96	$3,548.13	$6,025.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,897.79 / $13,182.57	Professional		$2,754.23	$4,897.79	$13,182.57
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 $3,235.94 / $3,388.44 / $3,715.35	Professional		$3,235.94	$3,388.44	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,311.31	Professional		$32.36	$33.11	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,818.38 / $7,413.10	Facility		$575.44	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $5,623.41	Professional		$2,570.40	$3,388.44	$5,623.41