Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.40 / $2,992.80 / $4,489.20	Facility		$1,496.40	$2,992.80	$4,489.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.00 / $1,496.40 / $2,349.14	Professional		$1,075.00	$1,496.40	$2,349.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,500.08 / $8,347.08 / $24,140.64	Facility		$2,500.08	$8,347.08	$24,140.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $1,259.17 / $1,405.16	Professional		$3.50	$1,259.17	$1,405.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,315.29 / $4,460.38 / $8,401.34	Facility		$2,315.29	$4,460.38	$8,401.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.48 / $2,223.05 / $3,323.20	Professional		$933.48	$2,223.05	$3,323.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.38 / $2,919.81 / $4,755.35	Professional		$1,861.38	$2,919.81	$4,755.35
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 $2,372.34 / $2,372.34 / $2,372.34	Professional		$2,372.34	$2,372.34	$2,372.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,481.84 / $2,481.84 / $2,737.32	Professional		$2,481.84	$2,481.84	$2,737.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.88 / $1,824.88 / $1,824.88	Facility		$1,824.88	$1,824.88	$1,824.88
United Facility/Professional Professional Modifier Low / Median / High Price $766.45 / $1,162.45 / $1,879.63	Professional		$766.45	$1,162.45	$1,879.63