Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,006.52 / $2,006.52 / $2,006.52	Facility		$2,006.52	$2,006.52	$2,006.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.26 / $2,006.52 / $2,863.71	Professional		$1,264.26	$2,006.52	$2,863.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,357.22 / $26,432.56 / $52,931.20	Facility		$12,357.22	$26,432.56	$52,931.20
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 $3,685.49 / $3,685.49 / $3,685.49	Facility		$3,685.49	$3,685.49	$3,685.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.45 / $3,132.67 / $3,685.49	Professional		$218.45	$3,132.67	$3,685.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $498.04 / $946.53	Professional		$100.00	$498.04	$946.53
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 $251.99 / $562.01 / $5,901.07	Professional		$251.99	$562.01	$5,901.07
United Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $341.32 / $713.28	Professional		$154.44	$341.32	$713.28