Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.96 / $1,203.96 / $1,203.96	Facility		$1,203.96	$1,203.96	$1,203.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.73 / $1,203.96 / $1,683.79	Professional		$814.73	$1,203.96	$1,683.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,906.52 / $4,917.32 / $20,929.95	Facility		$2,906.52	$4,917.32	$20,929.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,848.72 / $1,848.72 / $1,848.72	Professional		$1,848.72	$1,848.72	$1,848.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,573.58 / $1,573.58 / $2,407.75	Facility		$1,573.58	$1,573.58	$2,407.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,573.58 / $2,820.00	Professional		$1,148.71	$1,573.58	$2,820.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,946.02 / $2,420.96 / $2,941.54	Professional		$1,946.02	$2,420.96	$2,941.54
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 $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,283.38 / $1,833.40 / $1,925.07	Professional		$1,283.38	$1,833.40	$1,925.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.08 / $1,261.08 / $1,261.08	Facility		$1,261.08	$1,261.08	$1,261.08
United Facility/Professional Professional Modifier Low / Median / High Price $813.88 / $1,213.55 / $2,022.59	Professional		$813.88	$1,213.55	$2,022.59