Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,511.89	Facility		$1,258.93	$1,258.93	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,398.83	Professional		$1,047.13	$1,258.93	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $16,982.44	Facility		$2,951.21	$4,786.30	$16,982.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $1,862.09	Professional		$1,584.89	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,621.81	Facility		$1,513.56	$1,513.56	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,630.27	Professional		$1,096.48	$1,096.48	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $3,162.28	Professional		$1,949.84	$2,570.40	$3,162.28
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 $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,949.84	Professional		$1,380.38	$1,380.38	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,949.84 / $3,715.35	Facility		$977.24	$1,949.84	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,905.46	Professional		$933.25	$1,230.27	$1,905.46