Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.64 / $1,103.64 / $1,103.64	Facility		$1,103.64	$1,103.64	$1,103.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.28 / $1,103.64 / $1,448.01	Professional		$737.28	$1,103.64	$1,448.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,796.81 / $14,538.64 / $29,113.62	Facility		$6,796.81	$14,538.64	$29,113.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.31 / $134.38 / $134.38	Professional		$102.31	$134.38	$134.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.47 / $1,122.47 / $1,807.26	Facility		$1,122.47	$1,122.47	$1,807.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.57 / $1,122.47 / $2,077.50	Professional		$341.57	$1,122.47	$2,077.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $349.79	Professional		$100.00	$200.00	$349.79
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.85 / $201.57 / $1,058.95	Professional		$100.85	$201.57	$1,058.95
United Facility/Professional Professional Modifier Low / Median / High Price $736.05 / $917.71 / $1,685.55	Professional		$736.05	$917.71	$1,685.55