Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.93 / $1,091.93 / $1,091.93	Facility		$1,091.93	$1,091.93	$1,091.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.91 / $1,091.93 / $1,721.89	Professional		$738.91	$1,091.93	$1,721.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,636.22 / $4,460.02 / $18,982.28	Facility		$2,636.22	$4,460.02	$18,982.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,676.68 / $1,676.68 / $1,676.68	Professional		$1,676.68	$1,676.68	$1,676.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.14 / $1,427.14 / $2,426.78	Facility		$1,427.14	$1,427.14	$2,426.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,427.14 / $2,557.50	Professional		$1,041.81	$1,427.14	$2,557.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,875.24 / $2,609.17 / $3,185.12	Professional		$1,875.24	$2,609.17	$3,185.12
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 $2,868.01 / $2,868.01 / $2,868.01	Professional		$2,868.01	$2,868.01	$2,868.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,163.96 / $1,662.80 / $1,745.94	Professional		$1,163.96	$1,662.80	$1,745.94
United Facility/Professional Professional Modifier Low / Median / High Price $738.14 / $1,100.63 / $1,889.41	Professional		$738.14	$1,100.63	$1,889.41