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 $1,412.54 / $1,659.59 / $3,311.31	Professional		$1,412.54	$1,659.59	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $18,197.01 / $34,673.69	Facility		$6,760.83	$18,197.01	$34,673.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $3,019.95	Professional		$1,659.59	$2,238.72	$3,019.95
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 $1,288.25 / $2,290.87 / $3,630.78	Professional		$1,288.25	$2,290.87	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $4,786.30 / $8,128.31	Professional		$1,698.24	$4,786.30	$8,128.31
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 $1,698.24 / $1,995.26 / $2,238.72	Professional		$1,698.24	$1,995.26	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,187.76	Professional		$32.36	$33.11	$2,187.76
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 $1,479.11 / $2,187.76 / $3,467.37	Professional		$1,479.11	$2,187.76	$3,467.37