Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.04 / $1,258.04 / $1,258.04	Facility		$1,258.04	$1,258.04	$1,258.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.10 / $1,258.04 / $1,958.11	Professional		$986.10	$1,258.04	$1,958.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,924.01 / $4,946.91 / $21,060.03	Facility		$2,924.01	$4,946.91	$21,060.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,625.38 / $1,860.21 / $1,860.21	Professional		$1,625.38	$1,860.21	$1,860.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,618.14 / $1,618.14 / $2,735.39	Facility		$1,618.14	$1,618.14	$2,735.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.24 / $1,618.14 / $2,837.63	Professional		$1,181.24	$1,618.14	$2,837.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,080.48 / $2,841.48 / $3,426.70	Professional		$2,080.48	$2,841.48	$3,426.70
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 $3,181.93 / $3,181.93 / $3,181.93	Professional		$3,181.93	$3,181.93	$3,181.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,381.75 / $1,973.94 / $2,072.63	Professional		$1,381.75	$1,973.94	$2,072.63
United Facility/Professional Professional Modifier Low / Median / High Price $911.62 / $1,221.09 / $2,096.23	Professional		$911.62	$1,221.09	$2,096.23