Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,090.30 / $8,511.38	Facility		$1,071.52	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $2,238.72	Professional		$954.99	$1,122.02	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $11,748.98 / $22,387.21	Facility		$4,365.16	$11,748.98	$22,387.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,862.09	Professional		$1,202.26	$1,445.44	$1,862.09
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 $831.76 / $1,348.96 / $2,290.87	Professional		$831.76	$1,348.96	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $5,128.61	Professional		$1,096.48	$1,905.46	$5,128.61
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 $1,230.27 / $1,318.26 / $1,445.44	Professional		$1,230.27	$1,318.26	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,258.93	Professional		$32.36	$33.11	$1,258.93
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 $954.99 / $1,288.25 / $2,089.30	Professional		$954.99	$1,288.25	$2,089.30