Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,053.82 / $3,053.82 / $3,053.82	Facility		$3,053.82	$3,053.82	$3,053.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.50 / $3,053.82 / $4,009.59	Professional		$1,730.50	$3,053.82	$4,009.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,807.03 / $40,228.96 / $80,558.49	Facility		$18,807.03	$40,228.96	$80,558.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.86 / $401.05 / $401.05	Professional		$288.86	$401.05	$401.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $248.35 / $6,067.50	Professional		$248.35	$248.35	$6,067.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $345.40 / $669.74	Professional		$100.00	$345.40	$669.74
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 $253.56 / $589.54 / $3,622.37	Professional		$253.56	$589.54	$3,622.37
United Facility/Professional Professional Modifier Low / Median / High Price $203.60 / $266.77 / $1,223.00	Professional		$203.60	$266.77	$1,223.00