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 $1,348.96 / $1,584.89 / $3,090.30	Professional		$1,348.96	$1,584.89	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $17,378.01 / $33,113.11	Facility		$6,456.54	$17,378.01	$33,113.11
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 $1,230.27 / $1,949.84 / $3,235.94	Professional		$1,230.27	$1,949.84	$3,235.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,818.38 / $6,918.31	Professional		$1,548.82	$2,818.38	$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 $1,659.59 / $1,905.46 / $2,137.96	Professional		$1,659.59	$1,905.46	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
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 $1,348.96 / $1,778.28 / $3,090.30	Professional		$1,348.96	$1,778.28	$3,090.30