Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.81 / $1,108.81 / $1,108.81	Facility		$1,108.81	$1,108.81	$1,108.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.16 / $1,108.81 / $1,561.84	Professional		$812.16	$1,108.81	$1,561.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,577.39 / $4,360.49 / $18,561.87	Facility		$2,577.39	$4,360.49	$18,561.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,395.53 / $1,395.53 / $2,007.65	Facility		$1,395.53	$1,395.53	$2,007.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $2,500.88	Professional		$1,018.74	$1,018.74	$2,500.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,671.74 / $2,157.30 / $2,654.89	Professional		$1,671.74	$2,157.30	$2,654.89
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 $2,804.49 / $2,804.49 / $2,804.49	Professional		$2,804.49	$2,804.49	$2,804.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,217.85 / $1,739.80 / $1,826.79	Professional		$1,217.85	$1,739.80	$1,826.79
United Facility/Professional Professional Modifier Low / Median / High Price $741.55 / $1,042.67 / $1,847.57	Professional		$741.55	$1,042.67	$1,847.57