Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.20 / $1,108.20 / $1,108.20	Facility		$1,108.20	$1,108.20	$1,108.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.73 / $1,108.20 / $1,765.81	Professional		$803.73	$1,108.20	$1,765.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $4,357.80 / $23,621.02	Facility		$2,592.00	$4,357.80	$23,621.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,305.47 / $1,638.65 / $1,638.65	Professional		$1,305.47	$1,638.65	$1,638.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.20 / $1,184.20 / $2,248.84	Facility		$1,184.20	$1,184.20	$2,248.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $1,184.20 / $2,499.75	Professional		$864.47	$1,184.20	$2,499.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,814.61 / $2,359.56 / $2,904.40	Professional		$1,814.61	$2,359.56	$2,904.40
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 $2,802.96 / $2,802.96 / $2,802.96	Professional		$2,802.96	$2,802.96	$2,802.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,217.19 / $1,738.85 / $1,825.79	Professional		$1,217.19	$1,738.85	$1,825.79
United Facility/Professional Professional Modifier Low / Median / High Price $733.85 / $1,042.09 / $1,846.56	Professional		$733.85	$1,042.09	$1,846.56