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 $1,071.52 / $1,258.93 / $2,454.71	Professional		$1,071.52	$1,258.93	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $13,803.84 / $26,915.35	Facility		$5,128.61	$13,803.84	$26,915.35
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 $977.24 / $1,584.89 / $2,630.27	Professional		$977.24	$1,584.89	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $5,623.41	Professional		$1,202.26	$2,238.72	$5,623.41
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 $1,348.96 / $1,548.82 / $1,737.80	Professional		$1,348.96	$1,548.82	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,698.24	Professional		$32.36	$33.11	$1,698.24
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 / $2,454.71	Professional		$1,096.48	$1,445.44	$2,454.71