Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.76 / $1,109.76 / $1,109.76	Facility		$1,109.76	$1,109.76	$1,109.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.86 / $1,109.76 / $1,499.67	Professional		$628.86	$1,109.76	$1,499.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,834.47 / $14,619.20 / $29,274.94	Facility		$6,834.47	$14,619.20	$29,274.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $145.74 / $145.74	Professional		$104.98	$145.74	$145.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $109.87 / $109.87	Facility		$109.87	$109.87	$109.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $109.87 / $2,253.75	Professional		$93.39	$109.87	$2,253.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $180.71 / $345.40	Professional		$100.00	$180.71	$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 $92.15 / $214.24 / $1,316.51	Professional		$92.15	$214.24	$1,316.51
United Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $96.95 / $282.77	Professional		$82.40	$96.95	$282.77