Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $9,332.54	Facility		$1,202.26	$2,884.03	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,691.53	Professional		$1,174.90	$1,380.38	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $15,135.61 / $28,840.32	Facility		$5,623.41	$15,135.61	$28,840.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,344.23	Professional		$1,584.89	$1,862.09	$2,344.23
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 $1,096.48 / $1,778.28 / $2,818.38	Professional		$1,096.48	$1,778.28	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,715.35 / $6,918.31	Professional		$1,412.54	$3,715.35	$6,918.31
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 $1,445.44 / $1,659.59 / $1,862.09	Professional		$1,445.44	$1,659.59	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,905.46	Professional		$32.36	$33.11	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $14,125.38	Facility		$1,412.54	$4,466.84	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,691.53	Professional		$1,202.26	$1,621.81	$2,691.53