Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,394.88 / $1,394.88 / $1,394.88	Facility		$1,394.88	$1,394.88	$1,394.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.75 / $1,401.07 / $2,034.26	Professional		$1,041.75	$1,401.07	$2,034.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,367.62 / $5,697.42 / $24,248.85	Facility		$3,367.62	$5,697.42	$24,248.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.10 / $1,823.10 / $2,867.04	Facility		$1,823.10	$1,823.10	$2,867.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,823.10 / $3,267.38	Professional		$1,330.86	$1,823.10	$3,267.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,336.53 / $2,866.84 / $3,633.44	Professional		$2,336.53	$2,866.84	$3,633.44
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 $3,663.73 / $3,663.73 / $3,663.73	Professional		$3,663.73	$3,663.73	$3,663.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,590.98 / $2,272.83 / $2,386.47	Professional		$1,590.98	$2,272.83	$2,386.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,040.67 / $1,405.99 / $2,489.63	Professional		$1,040.67	$1,405.99	$2,489.63