Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,090.30 / $8,511.38	Facility		$1,047.13	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $2,089.30	Professional		$891.25	$1,047.13	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $11,481.54 / $21,877.62	Facility		$4,265.80	$11,481.54	$21,877.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,778.28	Professional		$1,071.52	$1,258.93	$1,778.28
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 $812.83 / $1,348.96 / $2,187.76	Professional		$812.83	$1,348.96	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,862.09 / $4,786.30	Professional		$1,071.52	$1,862.09	$4,786.30
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 $1,122.02 / $1,258.93 / $1,412.54	Professional		$1,122.02	$1,258.93	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,348.96	Professional		$32.36	$33.11	$1,348.96
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 $933.25 / $1,230.27 / $2,041.74	Professional		$933.25	$1,230.27	$2,041.74