Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,949.84	Facility		$1,000.00	$1,000.00	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,949.84	Professional		$870.96	$1,000.00	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,715.35 / $13,182.57	Facility		$2,344.23	$3,715.35	$13,182.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $1,479.11	Professional		$1,258.93	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,288.25	Facility		$1,202.26	$1,202.26	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $2,137.96	Professional		$891.25	$891.25	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,511.89	Professional		$1,548.82	$2,041.74	$2,511.89
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 $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,548.82	Professional		$1,096.48	$1,096.48	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,548.82 / $3,162.28	Facility		$812.83	$1,548.82	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,621.81	Professional		$758.58	$954.99	$1,621.81