Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,548.13 / $8,912.51	Facility		$1,023.29	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,737.80	Professional		$758.58	$891.25	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,511.38 / $13,803.84	Facility		$4,265.80	$8,511.38	$13,803.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,445.44	Professional		$1,412.54	$1,412.54	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $724.44 / $5,623.41	Facility		$575.44	$724.44	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $1,819.70	Professional		$676.08	$1,096.48	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,479.11 / $4,365.16	Professional		$870.96	$1,479.11	$4,365.16
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 $977.24 / $1,023.29 / $1,122.02	Professional		$977.24	$1,023.29	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,370.32 / $12,302.69	Facility		$1,905.46	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,698.24	Professional		$776.25	$1,071.52	$1,698.24