Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,801.89 / $8,511.38	Facility		$1,148.15	$3,801.89	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $4,168.69	Professional		$1,819.70	$2,137.96	$4,168.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $23,442.29 / $44,668.36	Facility		$8,709.64	$23,442.29	$44,668.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $3,630.78	Professional		$2,454.71	$2,951.21	$3,630.78
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 $1,698.24 / $2,691.53 / $4,365.16	Professional		$1,698.24	$2,691.53	$4,365.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,801.89 / $9,332.54	Professional		$2,089.30	$3,801.89	$9,332.54
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 $2,238.72 / $2,570.40 / $2,884.03	Professional		$2,238.72	$2,570.40	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,818.38	Professional		$32.36	$33.11	$2,818.38
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 $1,862.09 / $2,454.71 / $4,168.69	Professional		$1,862.09	$2,454.71	$4,168.69