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 $1,230.27 / $1,445.44 / $2,884.03	Professional		$1,230.27	$1,445.44	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $15,848.93 / $30,199.52	Facility		$5,888.44	$15,848.93	$30,199.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,454.71	Professional		$1,380.38	$1,659.59	$2,454.71
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 $1,148.15 / $1,819.70 / $2,951.21	Professional		$1,148.15	$1,819.70	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,570.40 / $6,456.54	Professional		$1,445.44	$2,570.40	$6,456.54
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 $1,513.56 / $1,737.80 / $1,949.84	Professional		$1,513.56	$1,737.80	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,905.46	Professional		$32.36	$33.11	$1,905.46
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 $1,258.93 / $1,659.59 / $2,818.38	Professional		$1,258.93	$1,659.59	$2,818.38