Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,232.83 / $1,232.83 / $1,232.83	Facility		$1,232.83	$1,232.83	$1,232.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.07 / $1,232.83 / $1,918.88	Professional		$1,037.07	$1,232.83	$1,918.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,866.77 / $4,850.07 / $20,638.09	Facility		$2,866.77	$4,850.07	$20,638.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,487.41 / $1,822.94 / $1,822.94	Professional		$1,487.41	$1,822.94	$1,822.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,610.34 / $1,703.99 / $3,340.52	Facility		$1,610.34	$1,703.99	$3,340.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.91 / $1,703.99 / $2,780.63	Professional		$1,243.91	$1,703.99	$2,780.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,038.81 / $3,358.04 / $4,367.10	Professional		$2,038.81	$3,358.04	$4,367.10
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 $3,118.18 / $3,118.18 / $3,118.18	Professional		$3,118.18	$3,118.18	$3,118.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,354.06 / $1,934.38 / $2,031.09	Professional		$1,354.06	$1,934.38	$2,031.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $1,520.62 / $1,520.62	Facility		$1,520.62	$1,520.62	$1,520.62
United Facility/Professional Professional Modifier Low / Median / High Price $946.91 / $1,196.63 / $2,054.21	Professional		$946.91	$1,196.63	$2,054.21