Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.27 / $1,008.27 / $1,008.27	Facility		$1,008.27	$1,008.27	$1,008.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.92 / $1,008.27 / $1,671.38	Professional		$887.92	$1,008.27	$1,671.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,434.29 / $4,118.39 / $17,527.93	Facility		$2,434.29	$4,118.39	$17,527.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,317.79 / $1,317.79 / $2,229.84	Facility		$1,317.79	$1,317.79	$2,229.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $1,317.79 / $2,361.75	Professional		$961.99	$1,317.79	$2,361.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,637.51 / $2,037.14 / $2,536.87	Professional		$1,637.51	$2,037.14	$2,536.87
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 $2,648.28 / $2,648.28 / $2,648.28	Professional		$2,648.28	$2,648.28	$2,648.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,241.40 / $1,773.43 / $1,862.10	Professional		$1,241.40	$1,773.43	$1,862.10
United Facility/Professional Professional Modifier Low / Median / High Price $760.37 / $1,016.30 / $1,744.66	Professional		$760.37	$1,016.30	$1,744.66