Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,884.03 / $7,762.47	Facility		$1,202.26	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,311.31	Professional		$1,230.27	$1,621.81	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $13,182.57 / $30,902.95	Facility		$10,715.19	$13,182.57	$30,902.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $2,691.53	Professional		$1,778.28	$2,344.23	$2,691.53
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 $1,318.26 / $2,089.30 / $3,090.30	Professional		$1,318.26	$2,089.30	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $6,606.93	Professional		$1,548.82	$2,454.71	$6,606.93
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 $1,659.59 / $1,819.70 / $2,041.74	Professional		$1,659.59	$1,819.70	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $281.84	Professional		$32.36	$32.36	$281.84
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 $1,318.26 / $1,862.09 / $3,090.30	Professional		$1,318.26	$1,862.09	$3,090.30