Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,809.30 / $1,809.30 / $1,809.30	Facility		$1,809.30	$1,809.30	$1,809.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.08 / $1,809.30 / $2,490.12	Professional		$1,047.08	$1,809.30	$2,490.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,142.61 / $23,834.48 / $47,728.54	Facility		$11,142.61	$23,834.48	$47,728.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.65 / $233.63 / $233.63	Professional		$184.65	$233.63	$233.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $3,142.07	Facility		$1,950.00	$1,950.00	$3,142.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.27 / $1,950.00 / $3,611.25	Professional		$268.27	$1,950.00	$3,611.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $4,372.60	Professional		$100.00	$200.00	$4,372.60
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 $350.45 / $350.45 / $467.25	Professional		$350.45	$350.45	$467.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,085.77 / $1,367.31 / $2,412.83	Professional		$1,085.77	$1,367.31	$2,412.83