Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.42 / $1,052.42 / $1,052.42	Facility		$1,052.42	$1,052.42	$1,052.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.17 / $1,052.42 / $1,613.57	Professional		$712.17	$1,052.42	$1,613.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,540.82 / $4,298.62 / $18,295.49	Facility		$2,540.82	$4,298.62	$18,295.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,616.02 / $1,616.02 / $1,616.02	Professional		$1,616.02	$1,616.02	$1,616.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $2,274.12	Facility		$1,020.64	$1,020.64	$2,274.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $1,020.64 / $2,465.25	Professional		$745.07	$1,020.64	$2,465.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,701.07 / $2,069.34 / $2,514.30	Professional		$1,701.07	$2,069.34	$2,514.30
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 $2,764.24 / $2,764.24 / $2,764.24	Professional		$2,764.24	$2,764.24	$2,764.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,121.84 / $1,602.64 / $1,682.77	Professional		$1,121.84	$1,602.64	$1,682.77
United Facility/Professional Professional Modifier Low / Median / High Price $707.20 / $1,060.81 / $1,862.63	Professional		$707.20	$1,060.81	$1,862.63