Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,570.40	Facility		$1,258.93	$1,258.93	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,570.40	Professional		$912.01	$1,258.93	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,897.79 / $17,378.01	Facility		$3,019.95	$4,897.79	$17,378.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $3,090.30	Facility		$1,621.81	$1,621.81	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,951.21	Professional		$1,202.26	$1,202.26	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $3,715.35	Professional		$2,137.96	$3,019.95	$3,715.35
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 $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,905.46	Professional		$1,348.96	$1,348.96	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $3,311.31	Facility		$1,348.96	$2,041.74	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,949.84	Professional		$912.01	$1,258.93	$1,949.84