Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,116.01 / $3,647.00 / $14,321.83	Facility		$1,116.01	$3,647.00	$14,321.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.80 / $1,167.33 / $2,236.44	Professional		$973.80	$1,167.33	$2,236.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,826.92 / $14,651.36 / $26,157.69	Facility		$6,826.92	$14,651.36	$26,157.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,368.72 / $1,840.72 / $2,174.38	Professional		$1,368.72	$1,840.72	$2,174.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,855.00 / $11,477.00 / $12,682.00	Facility		$1,855.00	$11,477.00	$12,682.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.58 / $1,625.48 / $2,344.14	Professional		$1,157.58	$1,625.48	$2,344.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,203.79 / $1,918.40 / $5,154.18	Professional		$1,203.79	$1,918.40	$5,154.18
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 $1,294.90 / $1,422.66 / $1,565.28	Professional		$1,294.90	$1,422.66	$1,565.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,806.09	Professional		$32.34	$32.34	$1,806.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $7,500.00 / $14,716.00	Facility		$1,602.00	$7,500.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,184.53 / $1,677.78 / $2,974.52	Professional		$1,184.53	$1,677.78	$2,974.52