Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,235.94 / $10,000.00	Facility		$1,202.26	$3,235.94	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $3,388.44	Professional		$1,479.11	$1,778.28	$3,388.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $19,498.45 / $38,018.94	Facility		$7,244.36	$19,498.45	$38,018.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $3,019.95	Professional		$2,041.74	$2,454.71	$3,019.95
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 $1,412.54 / $2,238.72 / $3,630.78	Professional		$1,412.54	$2,238.72	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,162.28 / $9,120.11	Professional		$1,778.28	$3,162.28	$9,120.11
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 $1,862.09 / $2,137.96 / $2,398.83	Professional		$1,862.09	$2,137.96	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,344.23	Professional		$32.36	$33.11	$2,344.23
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 $1,548.82 / $2,041.74 / $3,388.44	Professional		$1,548.82	$2,041.74	$3,388.44