Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,355.21 / $1,355.21 / $1,355.21	Facility		$1,355.21	$1,355.21	$1,355.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.33 / $1,355.21 / $2,109.35	Professional		$1,071.33	$1,355.21	$2,109.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,149.79 / $5,328.89 / $22,686.61	Facility		$3,149.79	$5,328.89	$22,686.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,596.43 / $2,003.88 / $2,003.88	Professional		$1,596.43	$2,003.88	$2,003.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,549.06 / $1,549.06 / $2,771.62	Facility		$1,549.06	$1,549.06	$2,771.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,549.06 / $3,056.63	Professional		$1,130.81	$1,549.06	$3,056.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,241.19 / $2,946.23 / $3,691.37	Professional		$2,241.19	$2,946.23	$3,691.37
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 $3,427.70 / $3,427.70 / $3,427.70	Professional		$3,427.70	$3,427.70	$3,427.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,488.48 / $2,126.41 / $2,232.73	Professional		$1,488.48	$2,126.41	$2,232.73
United Facility/Professional Professional Modifier Low / Median / High Price $978.19 / $1,315.42 / $2,192.37	Professional		$978.19	$1,315.42	$2,192.37