Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,187.17 / $1,187.17 / $1,187.17	Facility		$1,187.17	$1,187.17	$1,187.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,113.33 / $1,278.49 / $1,945.30	Professional		$1,113.33	$1,278.49	$1,945.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,866.77 / $4,850.07 / $20,638.09	Facility		$2,866.77	$4,850.07	$20,638.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,822.94 / $1,822.94 / $1,822.94	Professional		$1,822.94	$1,822.94	$1,822.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,654.54 / $1,654.54 / $2,741.66	Facility		$1,654.54	$1,654.54	$2,741.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,654.54 / $2,780.63	Professional		$1,207.81	$1,654.54	$2,780.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,038.81 / $2,861.87 / $3,493.60	Professional		$2,038.81	$2,861.87	$3,493.60
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 $3,118.18 / $3,118.18 / $3,118.18	Professional		$3,118.18	$3,118.18	$3,118.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,354.06 / $1,934.38 / $2,031.09	Professional		$1,354.06	$1,934.38	$2,031.09
United Facility/Professional Professional Modifier Low / Median / High Price $951.61 / $1,196.63 / $2,118.90	Professional		$951.61	$1,196.63	$2,118.90