Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.53 / $1,197.53 / $1,197.53	Facility		$1,197.53	$1,197.53	$1,197.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.88 / $1,197.53 / $1,863.93	Professional		$935.88	$1,197.53	$1,863.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,784.09 / $4,710.18 / $20,046.98	Facility		$2,784.09	$4,710.18	$20,046.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,501.70 / $1,770.73 / $1,770.73	Professional		$1,501.70	$1,770.73	$1,770.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $1,300.55 / $2,550.26	Facility		$1,300.55	$1,300.55	$2,550.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $949.40 / $2,728.14	Professional		$949.40	$949.40	$2,728.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,917.33 / $2,511.04 / $3,068.80	Professional		$1,917.33	$2,511.04	$3,068.80
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 $3,028.88 / $3,028.88 / $3,028.88	Professional		$3,028.88	$3,028.88	$3,028.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,229.24 / $1,756.07 / $1,843.87	Professional		$1,229.24	$1,756.07	$1,843.87
United Facility/Professional Professional Modifier Low / Median / High Price $865.31 / $1,162.36 / $2,040.96	Professional		$865.31	$1,162.36	$2,040.96