Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.18 / $1,008.18 / $1,008.18	Facility		$1,008.18	$1,008.18	$1,008.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.29 / $1,008.18 / $1,344.24	Professional		$571.29	$1,008.18	$1,344.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,208.92 / $13,281.12 / $26,595.44	Facility		$6,208.92	$13,281.12	$26,595.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $132.41 / $132.41	Professional		$78.53	$132.41	$132.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $99.82 / $2,047.50	Professional		$84.85	$99.82	$2,047.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $164.16 / $345.40	Professional		$100.00	$164.16	$345.40
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 $83.70 / $194.64 / $1,195.79	Professional		$83.70	$194.64	$1,195.79
United Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $88.07 / $403.70	Professional		$67.20	$88.07	$403.70