Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.54 / $1,323.54 / $1,323.54	Facility		$1,323.54	$1,323.54	$1,323.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.79 / $1,323.54 / $1,691.12	Professional		$837.79	$1,323.54	$1,691.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,076.65 / $5,205.14 / $22,156.54	Facility		$3,076.65	$5,205.14	$22,156.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,244.79 / $1,957.06 / $1,957.06	Professional		$1,244.79	$1,957.06	$1,957.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $2,124.44	Facility		$1,206.80	$1,206.80	$2,124.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $1,206.80 / $2,985.38	Professional		$880.96	$1,206.80	$2,985.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,931.31 / $2,575.08 / $3,090.10	Professional		$1,931.31	$2,575.08	$3,090.10
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 $3,347.60 / $3,347.60 / $3,347.60	Professional		$3,347.60	$3,347.60	$3,347.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,358.59 / $1,940.85 / $2,037.89	Professional		$1,358.59	$1,940.85	$2,037.89
United Facility/Professional Professional Modifier Low / Median / High Price $861.57 / $1,244.58 / $2,205.36	Professional		$861.57	$1,244.58	$2,205.36