Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,548.13 / $8,912.51	Facility		$1,071.52	$3,548.13	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,630.27	Professional		$933.25	$1,230.27	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $22,908.68	Facility		$4,365.16	$5,248.07	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $1,995.26	Professional		$1,318.26	$1,698.24	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $2,290.87	Professional		$1,023.29	$1,548.82	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $5,370.32	Professional		$1,148.15	$1,819.70	$5,370.32
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 $1,288.25 / $1,348.96 / $1,479.11	Professional		$1,288.25	$1,348.96	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $199.53	Professional		$32.36	$32.36	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,302.69	Facility		$2,137.96	$5,370.32	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,290.87	Professional		$977.24	$1,412.54	$2,290.87