Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,470.95 / $1,470.95 / $1,470.95	Facility		$1,470.95	$1,470.95	$1,470.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.20 / $1,149.71 / $1,379.82	Professional		$828.20	$1,149.71	$1,379.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,974.67 / $3,941.21 / $5,369.22	Facility		$2,974.67	$3,941.21	$5,369.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,278.54 / $1,306.39 / $1,734.20	Professional		$1,278.54	$1,306.39	$1,734.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,336.88 / $1,336.88 / $1,336.88	Facility		$1,336.88	$1,336.88	$1,336.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $973.00 / $1,405.88 / $2,216.57	Professional		$973.00	$1,405.88	$2,216.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.04 / $1,781.87 / $5,395.20	Professional		$1,225.04	$1,781.87	$5,395.20
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 $1,392.47 / $1,447.77 / $1,540.93	Professional		$1,392.47	$1,447.77	$1,540.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,742.44	Professional		$32.34	$32.34	$1,742.44
United Facility/Professional Professional Modifier Low / Median / High Price $866.49 / $1,185.33 / $1,887.53	Professional		$866.49	$1,185.33	$1,887.53