Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $9,332.54	Facility		$1,023.29	$2,884.03	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,479.11	Professional		$630.96	$776.25	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $25,703.96 / $35,481.34	Facility		$8,511.38	$25,703.96	$35,481.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,918.31 / $7,413.10	Facility		$3,890.45	$6,918.31	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $1,380.38	Professional		$588.84	$954.99	$1,380.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $2,884.03	Professional		$676.08	$1,096.48	$2,884.03
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 $794.33 / $831.76 / $912.01	Professional		$794.33	$831.76	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $14,125.38 / $38,018.94	Facility		$3,981.07	$14,125.38	$38,018.94
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,445.44	Professional		$660.69	$851.14	$1,445.44