Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,714.20 / $1,714.20 / $1,714.20	Facility		$1,714.20	$1,714.20	$1,714.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.26 / $1,714.20 / $2,460.96	Professional		$1,264.26	$1,714.20	$2,460.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,556.97 / $22,581.76 / $45,219.97	Facility		$10,556.97	$22,581.76	$45,219.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.09 / $167.99 / $167.99	Professional		$163.09	$167.99	$167.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $303.33 / $303.33	Facility		$303.33	$303.33	$303.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.83 / $303.33 / $3,609.38	Professional		$257.83	$303.33	$3,609.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $395.55 / $684.68	Professional		$100.00	$395.55	$684.68
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 $168.83 / $251.99 / $1,772.68	Professional		$168.83	$251.99	$1,772.68
United Facility/Professional Professional Modifier Low / Median / High Price $129.71 / $246.89 / $1,537.07	Professional		$129.71	$246.89	$1,537.07