Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,630.78 / $8,511.38	Facility		$1,148.15	$3,630.78	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $4,466.84	Professional		$1,737.80	$2,041.74	$4,466.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $22,387.21 / $42,657.95	Facility		$8,317.64	$22,387.21	$42,657.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,754.23 / $3,467.37	Professional		$2,290.87	$2,754.23	$3,467.37
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 $1,513.56 / $2,511.89 / $4,168.69	Professional		$1,513.56	$2,511.89	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $8,912.51	Professional		$1,905.46	$3,548.13	$8,912.51
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 $2,137.96 / $2,454.71 / $2,754.23	Professional		$2,137.96	$2,454.71	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,630.27	Professional		$32.36	$33.11	$2,630.27
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 $1,778.28 / $2,344.23 / $3,890.45	Professional		$1,778.28	$2,344.23	$3,890.45