Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,311.31 / $8,511.38	Facility		$1,148.15	$3,311.31	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $3,630.78	Professional		$1,584.89	$1,862.09	$3,630.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $20,417.38 / $39,810.72	Facility		$7,585.78	$20,417.38	$39,810.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $3,235.94	Professional		$2,137.96	$2,570.40	$3,235.94
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 $1,479.11 / $2,398.83 / $3,890.45	Professional		$1,479.11	$2,398.83	$3,890.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,311.31 / $8,317.64	Professional		$1,905.46	$3,311.31	$8,317.64
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 $1,949.84 / $2,238.72 / $2,511.89	Professional		$1,949.84	$2,238.72	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,454.71	Professional		$32.36	$33.11	$2,454.71
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 $1,659.59 / $2,187.76 / $3,630.78	Professional		$1,659.59	$2,187.76	$3,630.78