Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.21 / $1,267.21 / $2,465.48	Facility		$1,267.21	$1,267.21	$2,465.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.18 / $1,267.21 / $1,859.96	Professional		$874.18	$1,267.21	$1,859.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,946.27 / $4,984.57 / $21,213.59	Facility		$2,946.27	$4,984.57	$21,213.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,384.43 / $1,873.76 / $1,873.76	Professional		$1,384.43	$1,873.76	$1,873.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $2,336.53	Facility		$1,327.28	$1,327.28	$2,336.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $1,327.28 / $2,858.25	Professional		$968.91	$1,327.28	$2,858.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,095.66 / $5,354.17 / $6,904.62	Professional		$2,095.66	$5,354.17	$6,904.62
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 $3,205.12 / $3,205.12 / $3,205.12	Professional		$3,205.12	$3,205.12	$3,205.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,391.83 / $1,988.34 / $2,087.75	Professional		$1,391.83	$1,988.34	$2,087.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,465.48 / $3,398.59 / $6,315.72	Facility		$2,465.48	$3,398.59	$6,315.72
United Facility/Professional Professional Modifier Low / Median / High Price $883.09 / $1,175.16 / $2,111.51	Professional		$883.09	$1,175.16	$2,111.51