Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,128.61 / $12,882.50	Facility		$1,348.96	$5,128.61	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $3,467.37	Professional		$1,023.29	$1,348.96	$3,467.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $14,791.08 / $23,442.29	Facility		$2,951.21	$14,791.08	$23,442.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,187.76	Professional		$2,089.30	$2,089.30	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $14,125.38 / $19,054.61	Facility		$4,677.35	$14,125.38	$19,054.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,238.72	Professional		$1,174.90	$1,659.59	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $7,943.28	Professional		$1,071.52	$1,659.59	$7,943.28
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 $1,230.27 / $1,380.38 / $1,548.82	Professional		$1,230.27	$1,380.38	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,413.10 / $16,982.44	Facility		$1,778.28	$7,413.10	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,511.89	Professional		$1,148.15	$1,513.56	$2,511.89