Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,187.76 / $5,888.44	Facility		$1,071.52	$2,187.76	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,884.03	Professional		$933.25	$1,230.27	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $12,589.25 / $23,442.29	Facility		$10,715.19	$12,589.25	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,041.74	Professional		$1,202.26	$1,698.24	$2,041.74
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 $1,000.00 / $1,548.82 / $2,290.87	Professional		$1,000.00	$1,548.82	$2,290.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $4,897.79	Professional		$1,174.90	$1,862.09	$4,897.79
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 $1,258.93 / $1,380.38 / $1,548.82	Professional		$1,258.93	$1,380.38	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $213.80	Professional		$32.36	$32.36	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $12,882.50	Facility		$2,137.96	$5,370.32	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $2,238.72	Professional		$977.24	$1,380.38	$2,238.72