Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $2,691.53	Facility		$1,318.26	$1,949.84	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,819.70	Professional		$1,288.25	$1,318.26	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,187.76 / $15,848.93	Facility		$776.25	$2,187.76	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $1,778.28	Professional		$1,584.89	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,698.24	Professional		$1,318.26	$1,318.26	$1,698.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,584.89 / $2,344.23	Professional		$912.01	$1,584.89	$2,344.23
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $1,862.09	Professional		$1,348.96	$1,737.80	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,398.83	Facility		$1,318.26	$1,318.26	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,380.38 / $1,621.81	Professional		$1,318.26	$1,380.38	$1,621.81