Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.36 / $1,128.36 / $1,128.36	Facility		$1,128.36	$1,128.36	$1,128.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.96 / $1,128.36 / $1,753.11	Professional		$823.96	$1,128.36	$1,753.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,623.50 / $4,438.50 / $18,889.41	Facility		$2,623.50	$4,438.50	$18,889.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,286.34 / $1,668.47 / $1,668.47	Professional		$1,286.34	$1,668.47	$1,668.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,304.10 / $1,304.10 / $2,227.61	Facility		$1,304.10	$1,304.10	$2,227.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $1,304.10 / $2,545.13	Professional		$952.00	$1,304.10	$2,545.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,866.06 / $2,524.66 / $3,073.50	Professional		$1,866.06	$2,524.66	$3,073.50
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 $2,853.97 / $2,853.97 / $2,853.97	Professional		$2,853.97	$2,853.97	$2,853.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,239.34 / $1,770.50 / $1,859.02	Professional		$1,239.34	$1,770.50	$1,859.02
United Facility/Professional Professional Modifier Low / Median / High Price $832.36 / $1,095.25 / $1,939.39	Professional		$832.36	$1,095.25	$1,939.39