Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,224.17 / $1,224.17 / $1,224.17	Facility		$1,224.17	$1,224.17	$1,224.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.31 / $1,224.17 / $2,114.98	Professional		$1,015.31	$1,224.17	$2,114.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,955.81 / $5,000.71 / $21,281.21	Facility		$2,955.81	$5,000.71	$21,281.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,879.75 / $1,879.75 / $2,116.21	Professional		$1,879.75	$1,879.75	$2,116.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $2,980.79	Facility		$1,599.98	$1,599.98	$2,980.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,599.98 / $2,867.25	Professional		$1,167.99	$1,599.98	$2,867.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,102.35 / $2,709.81 / $3,431.85	Professional		$2,102.35	$2,709.81	$3,431.85
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 $3,215.36 / $3,215.36 / $3,215.36	Professional		$3,215.36	$3,215.36	$3,215.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,396.27 / $1,994.68 / $2,094.41	Professional		$1,396.27	$1,994.68	$2,094.41
United Facility/Professional Professional Modifier Low / Median / High Price $903.15 / $1,233.93 / $2,184.96	Professional		$903.15	$1,233.93	$2,184.96