Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.30 / $1,267.30 / $1,267.30	Facility		$1,267.30	$1,267.30	$1,267.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.84 / $970.36 / $1,267.30	Professional		$714.84	$970.36	$1,267.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,437.81 / $3,373.97 / $4,620.07	Facility		$2,437.81	$3,373.97	$4,620.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,099.21 / $1,123.16 / $1,493.75	Professional		$1,099.21	$1,123.16	$1,493.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,147.68 / $1,147.68 / $1,147.68	Facility		$1,147.68	$1,147.68	$1,147.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.43 / $1,202.51 / $1,851.36	Professional		$820.43	$1,202.51	$1,851.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.18 / $1,534.80 / $3,646.88	Professional		$1,055.18	$1,534.80	$3,646.88
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 $1,201.80 / $1,247.03 / $1,324.80	Professional		$1,201.80	$1,247.03	$1,324.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,498.05	Professional		$32.34	$32.34	$1,498.05
United Facility/Professional Professional Modifier Low / Median / High Price $749.33 / $988.36 / $1,622.15	Professional		$749.33	$988.36	$1,622.15