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 $1,288.25 / $1,513.56 / $3,019.95	Professional		$1,288.25	$1,513.56	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $16,218.10 / $31,622.78	Facility		$6,025.60	$16,218.10	$31,622.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $2,570.40	Professional		$1,698.24	$2,041.74	$2,570.40
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 $1,230.27 / $1,905.46 / $3,162.28	Professional		$1,230.27	$1,905.46	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $6,760.83	Professional		$1,513.56	$2,630.27	$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 $1,548.82 / $1,819.70 / $2,041.74	Professional		$1,548.82	$1,819.70	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,995.26	Professional		$32.36	$33.11	$1,995.26
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 $1,318.26 / $1,819.70 / $2,951.21	Professional		$1,318.26	$1,819.70	$2,951.21