Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.54 / $1,046.54 / $1,046.54	Facility		$1,046.54	$1,046.54	$1,046.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.44 / $1,102.86 / $1,718.11	Professional		$966.44	$1,102.86	$1,718.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,526.51 / $4,274.41 / $18,193.24	Facility		$2,526.51	$4,274.41	$18,193.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,606.99 / $1,606.99 / $1,606.99	Professional		$1,606.99	$1,606.99	$1,606.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $2,248.28	Facility		$1,367.82	$1,367.82	$2,248.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $1,367.82 / $2,451.38	Professional		$998.51	$1,367.82	$2,451.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,797.29 / $2,307.92 / $2,954.84	Professional		$1,797.29	$2,307.92	$2,954.84
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 $2,748.80 / $2,748.80 / $2,748.80	Professional		$2,748.80	$2,748.80	$2,748.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,193.66 / $1,705.24 / $1,790.50	Professional		$1,193.66	$1,705.24	$1,790.50
United Facility/Professional Facility Modifier Low / Median / High Price $769.93 / $1,347.44 / $1,536.34	Facility		$769.93	$1,347.44	$1,536.34
United Facility/Professional Professional Modifier Low / Median / High Price $887.69 / $1,054.88 / $1,810.87	Professional		$887.69	$1,054.88	$1,810.87