Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.76 / $4,071.13 / $6,861.70	Facility		$1,119.76	$4,071.13	$6,861.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $867.29 / $1,035.85 / $1,553.47	Professional		$867.29	$1,035.85	$1,553.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $911.98 / $2,498.48 / $11,169.19	Facility		$911.98	$2,498.48	$11,169.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.49 / $439.74 / $1,492.80	Professional		$133.49	$439.74	$1,492.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,095.34 / $1,337.96 / $2,895.23	Facility		$1,095.34	$1,337.96	$2,895.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.63 / $1,353.23 / $2,140.81	Professional		$968.63	$1,353.23	$2,140.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $916.27 / $1,396.22 / $4,910.83	Professional		$916.27	$1,396.22	$4,910.83
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 $1,134.43 / $1,168.54 / $1,266.85	Professional		$1,134.43	$1,168.54	$1,266.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $114.96 / $1,281.21	Professional		$32.34	$114.96	$1,281.21
United Facility/Professional Professional Modifier Low / Median / High Price $887.49 / $1,330.25 / $2,176.04	Professional		$887.49	$1,330.25	$2,176.04