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 $1,096.48 / $1,318.26 / $3,162.28	Professional		$1,096.48	$1,318.26	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $14,454.40 / $27,542.29	Facility		$5,370.32	$14,454.40	$27,542.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $4,265.80	Professional		$1,819.70	$1,819.70	$4,265.80
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 $954.99 / $1,584.89 / $2,691.53	Professional		$954.99	$1,584.89	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,344.23 / $5,248.07	Professional		$1,230.27	$2,344.23	$5,248.07
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 $1,412.54 / $1,584.89 / $1,778.28	Professional		$1,412.54	$1,584.89	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,778.28	Professional		$32.36	$33.11	$1,778.28
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 $1,096.48 / $1,445.44 / $2,511.89	Professional		$1,096.48	$1,445.44	$2,511.89