Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,454.71	Facility		$1,202.26	$1,202.26	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $2,454.71	Professional		$812.83	$1,202.26	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,677.35 / $16,595.87	Facility		$2,884.03	$4,677.35	$16,595.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,089.30	Facility		$1,174.90	$1,174.90	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $2,454.71	Professional		$851.14	$851.14	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $2,884.03	Professional		$1,862.09	$2,398.83	$2,884.03
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 $1,380.38 / $1,380.38 / $1,949.84	Professional		$1,380.38	$1,380.38	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $3,019.95	Facility		$1,230.27	$1,949.84	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,778.28	Professional		$831.76	$1,202.26	$1,778.28