Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $1,601.25 / $2,779.03	Facility		$1,323.35	$1,601.25	$2,779.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,336.58 / $1,514.47	Professional		$1,323.35	$1,336.58	$1,514.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $753.60 / $2,191.73 / $17,882.00	Facility		$753.60	$2,191.73	$17,882.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,568.57 / $1,771.46 / $1,771.46	Professional		$1,568.57	$1,771.46	$1,771.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,323.35	Facility		$1,323.35	$1,323.35	$1,323.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,687.20	Professional		$1,323.35	$1,323.35	$1,687.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.52 / $1,574.72 / $2,520.98	Professional		$977.52	$1,574.72	$2,520.98
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 $1,720.36 / $1,720.36 / $1,720.36	Professional		$1,720.36	$1,720.36	$1,720.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,444.55 / $2,022.37 / $2,166.83	Professional		$1,444.55	$2,022.37	$2,166.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,402.75 / $1,654.19	Professional		$1,323.35	$1,402.75	$1,654.19