Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,111.68 / $1,111.68 / $1,111.68	Facility		$1,111.68	$1,111.68	$1,111.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.50 / $1,111.68 / $1,730.31	Professional		$877.50	$1,111.68	$1,730.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,583.75 / $4,371.25 / $18,610.00	Facility		$2,583.75	$4,371.25	$18,610.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,341.25 / $1,643.80 / $1,643.80	Professional		$1,341.25	$1,643.80	$1,643.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.15 / $1,399.15 / $2,375.77	Facility		$1,399.15	$1,399.15	$2,375.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,399.15 / $2,507.63	Professional		$1,021.38	$1,399.15	$2,507.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,762.12 / $2,271.03 / $2,738.79	Professional		$1,762.12	$2,271.03	$2,738.79
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 $2,811.76 / $2,811.76 / $2,811.76	Professional		$2,811.76	$2,811.76	$2,811.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,141.12 / $1,630.18 / $1,711.68	Professional		$1,141.12	$1,630.18	$1,711.68
United Facility/Professional Professional Modifier Low / Median / High Price $818.79 / $1,079.04 / $1,910.69	Professional		$818.79	$1,079.04	$1,910.69