Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,434.04 / $2,481.66 / $2,684.31	Facility		$1,434.04	$2,481.66	$2,684.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.80 / $1,509.90 / $2,774.16	Professional		$1,054.80	$1,509.90	$2,774.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,845.28 / $18,920.40 / $37,888.10	Facility		$8,845.28	$18,920.40	$37,888.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,720.45 / $1,977.88 / $2,397.98	Professional		$1,720.45	$1,977.88	$2,397.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,296.25 / $2,153.29 / $2,791.30	Professional		$1,296.25	$2,153.29	$2,791.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,524.42 / $2,371.91 / $4,759.28	Professional		$1,524.42	$2,371.91	$4,759.28
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 $1,534.43 / $1,824.72 / $2,073.54	Professional		$1,534.43	$1,824.72	$2,073.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,392.55	Professional		$32.34	$32.34	$2,392.55
United Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $2,873.00 / $7,384.00	Facility		$578.00	$2,873.00	$7,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,321.39 / $1,950.75 / $3,217.79	Professional		$1,321.39	$1,950.75	$3,217.79