Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.75 / $1,255.75 / $1,255.75	Facility		$1,255.75	$1,255.75	$1,255.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $995.36 / $1,255.75 / $1,954.54	Professional		$995.36	$1,255.75	$1,954.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,919.24 / $4,938.84 / $21,021.64	Facility		$2,919.24	$4,938.84	$21,021.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,598.57 / $1,856.82 / $1,856.82	Professional		$1,598.57	$1,856.82	$1,856.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $2,631.45	Facility		$1,499.97	$1,499.97	$2,631.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,499.97 / $2,832.38	Professional		$1,094.98	$1,499.97	$2,832.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,996.20 / $2,614.34 / $3,195.04	Professional		$1,996.20	$2,614.34	$3,195.04
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 $3,176.13 / $3,176.13 / $3,176.13	Professional		$3,176.13	$3,176.13	$3,176.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,379.24 / $1,970.35 / $2,068.86	Professional		$1,379.24	$1,970.35	$2,068.86
United Facility/Professional Professional Modifier Low / Median / High Price $930.18 / $1,218.88 / $2,092.41	Professional		$930.18	$1,218.88	$2,092.41