Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,122.02	Facility		$1,096.48	$1,096.48	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $1,513.56	Professional		$630.96	$1,096.48	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $14,454.40 / $28,183.83	Facility		$5,370.32	$14,454.40	$28,183.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $144.54	Professional		$104.71	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $1,584.89	Professional		$93.33	$93.33	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $346.74	Professional		$117.49	$151.36	$346.74
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 $91.20 / $131.83 / $1,318.26	Professional		$91.20	$131.83	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $154.88 / $977.24	Facility		$63.10	$154.88	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $676.08	Professional		$77.62	$100.00	$676.08