Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.13 / $1,096.13 / $1,702.94	Facility		$1,096.13	$1,096.13	$1,702.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.21 / $1,047.08 / $1,248.43	Professional		$864.21	$1,047.08	$1,248.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,728.69 / $3,792.15 / $14,540.34	Facility		$1,728.69	$3,792.15	$14,540.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.22 / $1,032.35 / $1,648.99	Professional		$224.22	$1,032.35	$1,648.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,097.34 / $1,337.96 / $2,895.23	Facility		$1,097.34	$1,337.96	$2,895.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.13 / $1,409.11 / $2,241.75	Professional		$994.13	$1,409.11	$2,241.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.22 / $1,684.02 / $6,611.42	Professional		$1,093.22	$1,684.02	$6,611.42
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 $1,344.10 / $1,368.26 / $1,520.40	Professional		$1,344.10	$1,368.26	$1,520.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,500.00	Professional		$32.34	$32.34	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $930.36 / $1,571.58 / $2,669.73	Professional		$930.36	$1,571.58	$2,669.73