Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $1,347.00 / $1,347.00	Facility		$1,347.00	$1,347.00	$1,347.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.38 / $1,347.00 / $2,003.04	Professional		$779.38	$1,347.00	$2,003.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,295.54 / $17,744.48 / $35,533.32	Facility		$8,295.54	$17,744.48	$35,533.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $175.51 / $175.51	Professional		$126.41	$175.51	$175.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $144.19 / $2,181.50	Facility		$144.19	$144.19	$2,181.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.56 / $144.19 / $2,951.25	Professional		$122.56	$144.19	$2,951.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $369.74	Professional		$100.00	$200.00	$369.74
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 $184.84 / $194.08 / $351.02	Professional		$184.84	$194.08	$351.02
United Facility/Professional Professional Modifier Low / Median / High Price $757.51 / $899.99 / $1,547.47	Professional		$757.51	$899.99	$1,547.47