Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,627.00 / $13,849.74	Facility		$1,017.00	$3,627.00	$13,849.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.70 / $757.45 / $1,094.53	Professional		$623.70	$757.45	$1,094.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,716.20 / $19,993.52 / $30,511.05	Facility		$8,716.20	$19,993.52	$30,511.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.35 / $1,275.58 / $1,432.17	Professional		$803.35	$1,275.58	$1,432.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,140.00 / $7,429.00 / $16,193.00	Facility		$7,140.00	$7,429.00	$16,193.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.99 / $1,014.13 / $1,356.82	Professional		$719.99	$1,014.13	$1,356.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $681.07 / $1,024.85 / $3,787.39	Professional		$681.07	$1,024.85	$3,787.39
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 $727.65 / $843.23 / $941.69	Professional		$727.65	$843.23	$941.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,064.83	Professional		$32.34	$32.34	$1,064.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,655.00 / $11,047.00 / $35,962.00	Facility		$2,655.00	$11,047.00	$35,962.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.17 / $1,072.88 / $1,792.40	Professional		$696.17	$1,072.88	$1,792.40