Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,981.07 / $9,772.37	Facility		$1,122.02	$3,981.07	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,548.82	Professional		$602.56	$707.95	$1,548.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,511.38 / $12,302.69	Facility		$4,265.80	$8,511.38	$12,302.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,202.26	Professional		$812.83	$977.24	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $831.76	Facility		$660.69	$660.69	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,479.11	Professional		$575.44	$912.01	$1,479.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $3,235.94	Professional		$724.44	$1,258.93	$3,235.94
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 $758.58 / $851.14 / $954.99	Professional		$758.58	$851.14	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,165.95 / $15,488.17	Facility		$1,659.59	$6,165.95	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,380.38	Professional		$616.60	$831.76	$1,380.38