Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,715.35 / $9,772.37	Facility		$1,122.02	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $2,089.30	Professional		$912.01	$1,071.52	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $8,709.64 / $21,379.62	Facility		$5,248.07	$8,709.64	$21,379.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $1,995.26	Professional		$1,288.25	$1,778.28	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $11,748.98 / $12,882.50	Facility		$7,762.47	$11,748.98	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $2,187.76	Professional		$977.24	$1,548.82	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $4,265.80	Professional		$1,023.29	$1,737.80	$4,265.80
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 $1,174.90 / $1,318.26 / $1,513.56	Professional		$1,174.90	$1,318.26	$1,513.56
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 $2,570.40 / $6,456.54 / $15,488.17	Facility		$2,570.40	$6,456.54	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,290.87	Professional		$1,023.29	$1,318.26	$2,290.87