Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $8,511.38	Facility		$1,148.15	$3,090.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $2,630.27	Professional		$1,047.13	$1,202.26	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,182.57 / $25,118.86	Facility		$4,897.79	$13,182.57	$25,118.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,137.96	Professional		$1,412.54	$1,698.24	$2,137.96
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 $933.25 / $1,513.56 / $2,570.40	Professional		$933.25	$1,513.56	$2,570.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $4,466.84	Professional		$1,174.90	$2,187.76	$4,466.84
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 $1,348.96 / $1,513.56 / $1,698.24	Professional		$1,348.96	$1,513.56	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,659.59	Professional		$32.36	$33.11	$1,659.59
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 $1,047.13 / $1,380.38 / $2,344.23	Professional		$1,047.13	$1,380.38	$2,344.23