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 $977.24 / $1,258.93 / $2,691.53	Professional		$977.24	$1,258.93	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,370.32 / $23,988.33	Facility		$4,365.16	$5,370.32	$23,988.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,089.30	Professional		$1,258.93	$1,548.82	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,398.83	Professional		$1,023.29	$1,621.81	$2,398.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $4,786.30	Professional		$1,202.26	$1,905.46	$4,786.30
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 $1,318.26 / $1,445.44 / $1,584.89	Professional		$1,318.26	$1,445.44	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $223.87	Professional		$32.36	$32.36	$223.87
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 $1,047.13 / $1,445.44 / $2,344.23	Professional		$1,047.13	$1,445.44	$2,344.23