Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,073.80 / $5,248.07	Facility		$1,148.15	$4,073.80	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,168.69 / $5,011.87	Professional		$4,073.80	$4,168.69	$5,011.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $17,378.01 / $60,255.96	Facility		$1,412.54	$17,378.01	$60,255.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $5,248.07 / $6,456.54	Professional		$346.74	$5,248.07	$6,456.54
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,698.24	Facility		$1,023.29	$1,023.29	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,570.88	Professional		$4,168.69	$4,168.69	$4,570.88