Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.50 / $3,006.25 / $3,802.50	Facility		$1,397.50	$3,006.25	$3,802.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,332.50 / $2,065.38	Professional		$975.00	$1,332.50	$2,065.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,193.75 / $6,994.48 / $21,496.47	Facility		$2,193.75	$6,994.48	$21,496.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $1,121.25 / $1,251.25	Professional		$3.50	$1,121.25	$1,251.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,825.26 / $4,037.90 / $7,481.09	Facility		$1,825.26	$4,037.90	$7,481.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.31 / $1,980.34 / $2,743.07	Professional		$848.31	$1,980.34	$2,743.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,625.00 / $2,600.00 / $4,137.25	Professional		$1,625.00	$2,600.00	$4,137.25
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 $2,112.50 / $2,112.50 / $2,112.50	Professional		$2,112.50	$2,112.50	$2,112.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $812.50 / $1,625.00 / $2,388.75	Professional		$812.50	$1,625.00	$2,388.75
United Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $975.00 / $1,625.00	Professional		$682.50	$975.00	$1,625.00