Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.85 / $1,239.85 / $1,239.85	Facility		$1,239.85	$1,239.85	$1,239.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.66 / $1,239.85 / $1,742.67	Professional		$975.66	$1,239.85	$1,742.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,993.97 / $5,065.27 / $21,554.05	Facility		$2,993.97	$5,065.27	$21,554.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,903.84 / $1,903.84 / $1,903.84	Professional		$1,903.84	$1,903.84	$1,903.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.39 / $1,295.39 / $2,428.78	Facility		$1,295.39	$1,295.39	$2,428.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $1,295.39 / $2,904.00	Professional		$945.63	$1,295.39	$2,904.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,032.37 / $2,505.05 / $3,148.60	Professional		$2,032.37	$2,505.05	$3,148.60
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 $3,256.57 / $3,256.57 / $3,256.57	Professional		$3,256.57	$3,256.57	$3,256.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,414.16 / $2,020.24 / $2,121.25	Professional		$1,414.16	$2,020.24	$2,121.25
United Facility/Professional Professional Modifier Low / Median / High Price $866.21 / $1,249.74 / $2,145.39	Professional		$866.21	$1,249.74	$2,145.39