Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,168.69 / $8,511.38	Facility		$1,148.15	$4,168.69	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $4,570.88	Professional		$1,949.84	$2,344.23	$4,570.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $25,703.96 / $48,977.88	Facility		$9,549.93	$25,703.96	$48,977.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $3,981.07	Professional		$2,630.27	$3,162.28	$3,981.07
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 $1,698.24 / $2,884.03 / $4,786.30	Professional		$1,698.24	$2,884.03	$4,786.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,073.80 / $10,232.93	Professional		$2,187.76	$4,073.80	$10,232.93
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 $2,398.83 / $2,818.38 / $3,162.28	Professional		$2,398.83	$2,818.38	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,019.95	Professional		$32.36	$33.11	$3,019.95
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 $2,041.74 / $2,691.53 / $4,466.84	Professional		$2,041.74	$2,691.53	$4,466.84