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 $95.36 / $132.41 / $132.41	Professional		$95.36	$132.41	$132.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $93.11 / $2,047.50	Professional		$93.11	$93.11	$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 $77.22 / $194.64 / $259.51	Professional		$77.22	$194.64	$259.51
United Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $88.07 / $256.88	Professional		$67.59	$88.07	$256.88