Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,877.28 / $1,877.28 / $1,877.28	Facility		$1,877.28	$1,877.28	$1,877.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.26 / $1,877.28 / $2,681.37	Professional		$1,264.26	$1,877.28	$2,681.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,561.27 / $24,730.00 / $49,521.82	Facility		$11,561.27	$24,730.00	$49,521.82
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 Professional Modifier Low / Median / High Price $192.51 / $1,472.88 / $3,637.50	Professional		$192.51	$1,472.88	$3,637.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $452.79 / $830.80	Professional		$100.00	$452.79	$830.80
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 $214.29 / $251.99 / $2,250.03	Professional		$214.29	$251.99	$2,250.03
United Facility/Professional Professional Modifier Low / Median / High Price $143.24 / $299.58 / $1,861.29	Professional		$143.24	$299.58	$1,861.29