Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.83 / $1,044.83 / $2,032.83	Facility		$1,044.83	$1,044.83	$2,032.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.85 / $1,044.83 / $1,626.26	Professional		$766.85	$1,044.83	$1,626.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,429.52 / $4,110.32 / $17,490.95	Facility		$2,429.52	$4,110.32	$17,490.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.63 / $1,544.95 / $1,544.95	Professional		$1,121.63	$1,544.95	$1,544.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $2,138.87	Facility		$1,108.41	$1,108.41	$2,138.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $1,108.41 / $2,356.50	Professional		$809.14	$1,108.41	$2,356.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,727.91 / $2,236.11 / $2,681.09	Professional		$1,727.91	$2,236.11	$2,681.09
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 $2,642.68 / $2,642.68 / $2,642.68	Professional		$2,642.68	$2,642.68	$2,642.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,147.58 / $1,639.41 / $1,721.38	Professional		$1,147.58	$1,639.41	$1,721.38
United Facility/Professional Professional Modifier Low / Median / High Price $726.31 / $1,014.16 / $1,740.97	Professional		$726.31	$1,014.16	$1,740.97