Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $3,548.13	Facility		$1,047.13	$1,047.13	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,659.59	Professional		$812.83	$1,047.13	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $14,125.38	Facility		$2,454.71	$3,981.07	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $1,548.82	Professional		$1,122.02	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,187.76	Facility		$1,096.48	$1,096.48	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $2,137.96	Professional		$812.83	$812.83	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,691.53	Professional		$1,737.80	$2,187.76	$2,691.53
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 $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,621.81	Professional		$1,148.15	$1,148.15	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,621.81 / $2,884.03	Facility		$741.31	$1,621.81	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,513.56	Professional		$724.44	$1,023.29	$1,513.56