Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $8,511.38	Facility		$1,148.15	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $2,398.83	Professional		$1,023.29	$1,202.26	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,182.57 / $25,118.86	Facility		$4,897.79	$13,182.57	$25,118.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $1,230.27	Facility		$398.11	$588.84	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,659.59 / $2,570.40	Professional		$977.24	$1,659.59	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,388.44 / $5,888.44	Professional		$1,230.27	$3,388.44	$5,888.44
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 $1,258.93 / $1,445.44 / $1,621.81	Professional		$1,258.93	$1,445.44	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,584.89	Professional		$32.36	$33.11	$1,584.89
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 $1,071.52 / $1,584.89 / $2,511.89	Professional		$1,071.52	$1,584.89	$2,511.89