Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,981.07 / $10,000.00	Facility		$1,122.02	$3,981.07	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,348.96	Professional		$602.56	$707.95	$1,348.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $14,454.40 / $18,197.01	Facility		$6,760.83	$14,454.40	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,202.26	Professional		$794.33	$954.99	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $13,803.84	Facility		$398.11	$588.84	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,445.44	Professional		$575.44	$912.01	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,187.76 / $3,801.89	Professional		$724.44	$2,187.76	$3,801.89
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 $741.31 / $851.14 / $954.99	Professional		$741.31	$851.14	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $7,762.47 / $16,982.44	Facility		$1,584.89	$7,762.47	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,380.38	Professional		$616.60	$870.96	$1,380.38