Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,951.21 / $7,762.47	Facility		$1,202.26	$2,951.21	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,548.13	Professional		$1,258.93	$1,659.59	$3,548.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $35,481.34	Facility		$2,511.89	$3,388.44	$35,481.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $2,754.23	Professional		$2,089.30	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $3,162.28	Professional		$1,288.25	$2,137.96	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $5,623.41	Professional		$1,659.59	$2,691.53	$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 $1,698.24 / $2,041.74 / $2,344.23	Professional		$1,698.24	$2,041.74	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $363.08	Professional		$32.36	$32.36	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,365.16 / $8,128.31	Facility		$1,621.81	$4,365.16	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,235.94	Professional		$1,348.96	$1,862.09	$3,235.94