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 $1,096.48 / $1,412.54 / $2,884.03	Professional		$1,096.48	$1,412.54	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $13,182.57 / $27,542.29	Facility		$10,715.19	$13,182.57	$27,542.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,398.83	Professional		$1,584.89	$2,089.30	$2,398.83
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 $1,174.90 / $1,819.70 / $2,691.53	Professional		$1,174.90	$1,819.70	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $5,370.32	Professional		$1,380.38	$2,187.76	$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 $1,479.11 / $1,621.81 / $1,819.70	Professional		$1,479.11	$1,621.81	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $251.19	Professional		$32.36	$32.36	$251.19
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 $1,148.15 / $1,621.81 / $2,691.53	Professional		$1,148.15	$1,621.81	$2,691.53