Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,105.76 / $4,529.84 / $5,729.63	Facility		$2,105.76	$4,529.84	$5,729.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $2,007.82 / $2,396.75	Professional		$570.54	$2,007.82	$2,396.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,305.55 / $10,539.33 / $32,391.00	Facility		$3,305.55	$10,539.33	$32,391.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $1,791.12 / $1,885.39	Professional		$3.50	$1,791.12	$1,885.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,387.34 / $5,984.41 / $11,272.27	Facility		$2,387.34	$5,984.41	$11,272.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $979.42 / $2,813.77 / $3,757.42	Professional		$979.42	$2,813.77	$3,757.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $3,850.36 / $5,874.27	Professional		$2,448.56	$3,850.36	$5,874.27
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 $3,183.13 / $3,183.13 / $3,183.13	Professional		$3,183.13	$3,183.13	$3,183.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,224.28 / $2,448.56 / $3,599.38	Professional		$1,224.28	$2,448.56	$3,599.38
United Facility/Professional Facility Modifier Low / Median / High Price $722.52 / $722.52 / $722.52	Facility		$722.52	$722.52	$722.52
United Facility/Professional Professional Modifier Low / Median / High Price $331.16 / $1,124.42 / $2,448.56	Professional		$331.16	$1,124.42	$2,448.56