Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,196.53 / $1,196.53 / $1,196.53	Facility		$1,196.53	$1,196.53	$1,196.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.13 / $1,196.53 / $1,738.01	Professional		$734.13	$1,196.53	$1,738.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,780.91 / $4,704.81 / $20,030.43	Facility		$2,780.91	$4,704.81	$20,030.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,136.71 / $1,769.26 / $1,769.26	Professional		$1,136.71	$1,769.26	$1,769.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.01 / $1,107.01 / $2,274.65	Facility		$1,107.01	$1,107.01	$2,274.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $1,477.31 / $1,968.99	Professional		$808.12	$1,477.31	$1,968.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,978.77 / $2,692.55 / $3,337.56	Professional		$1,978.77	$2,692.55	$3,337.56
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 $3,026.36 / $3,026.36 / $3,026.36	Professional		$3,026.36	$3,026.36	$3,026.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,314.19 / $1,877.42 / $1,971.29	Professional		$1,314.19	$1,877.42	$1,971.29
United Facility/Professional Professional Modifier Low / Median / High Price $736.54 / $1,151.03 / $1,993.73	Professional		$736.54	$1,151.03	$1,993.73