Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.89 / $3,221.00 / $8,806.00	Facility		$1,092.89	$3,221.00	$8,806.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.74 / $1,122.64 / $2,159.91	Professional		$1,066.74	$1,122.64	$2,159.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,070.62 / $11,782.54 / $27,409.70	Facility		$7,070.62	$11,782.54	$27,409.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,428.92 / $1,914.74 / $2,168.88	Professional		$1,428.92	$1,914.74	$2,168.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,383.00 / $1,383.00 / $1,434.00	Facility		$1,383.00	$1,383.00	$1,434.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.54 / $1,722.19 / $2,588.16	Professional		$1,078.54	$1,722.19	$2,588.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,270.51 / $1,963.33 / $5,326.12	Professional		$1,270.51	$1,963.33	$5,326.12
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 $1,458.47 / $1,501.51 / $1,658.41	Professional		$1,458.47	$1,501.51	$1,658.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,913.55	Professional		$32.34	$32.34	$1,913.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $5,978.00 / $12,241.00	Facility		$1,300.00	$5,978.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,203.98 / $1,647.56 / $2,620.69	Professional		$1,203.98	$1,647.56	$2,620.69