Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,691.53	Facility		$1,348.96	$1,348.96	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,570.40	Professional		$1,148.15	$1,348.96	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,128.61 / $18,197.01	Facility		$3,162.28	$5,128.61	$18,197.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $1,995.26	Professional		$1,584.89	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,778.28	Facility		$1,548.82	$1,548.82	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,754.23	Professional		$1,122.02	$1,122.02	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $3,715.35	Professional		$2,089.30	$2,951.21	$3,715.35
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 $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,137.96	Professional		$1,479.11	$1,479.11	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,089.30 / $3,801.89	Facility		$1,000.00	$2,089.30	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,995.26	Professional		$977.24	$1,318.26	$1,995.26