Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,193.63 / $1,193.63 / $1,193.63	Facility		$1,193.63	$1,193.63	$1,193.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.17 / $1,193.63 / $1,978.68	Professional		$1,051.17	$1,193.63	$1,978.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,881.08 / $4,874.28 / $20,750.33	Facility		$2,881.08	$4,874.28	$20,750.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,832.85 / $1,832.85 / $1,832.85	Professional		$1,832.85	$1,832.85	$1,832.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $1,346.19 / $2,639.78	Facility		$1,346.19	$1,346.19	$2,639.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $1,346.19 / $2,796.00	Professional		$982.72	$1,346.19	$2,796.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,049.89 / $2,676.06 / $3,376.30	Professional		$2,049.89	$2,676.06	$3,376.30
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 $3,135.13 / $3,135.13 / $3,135.13	Professional		$3,135.13	$3,135.13	$3,135.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,469.61 / $2,099.44 / $2,204.42	Professional		$1,469.61	$2,099.44	$2,204.42
United Facility/Professional Professional Modifier Low / Median / High Price $895.67 / $1,203.14 / $2,065.40	Professional		$895.67	$1,203.14	$2,065.40