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 $1,202.26 / $1,445.44 / $2,818.38	Professional		$1,202.26	$1,445.44	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $15,488.17 / $30,199.52	Facility		$5,754.40	$15,488.17	$30,199.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,454.71	Professional		$1,621.81	$1,949.84	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $1,412.54	Facility		$398.11	$588.84	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $3,019.95	Professional		$1,122.02	$1,905.46	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,890.45 / $6,760.83	Professional		$1,445.44	$3,890.45	$6,760.83
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 $1,479.11 / $1,737.80 / $1,949.84	Professional		$1,479.11	$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 $1,288.25 / $1,819.70 / $2,951.21	Professional		$1,288.25	$1,819.70	$2,951.21