Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,754.23	Facility		$1,348.96	$1,348.96	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,511.89	Professional		$1,122.02	$1,348.96	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,248.07 / $18,620.87	Facility		$3,235.94	$5,248.07	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,570.40	Facility		$1,737.80	$1,737.80	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,754.23	Professional		$1,288.25	$1,288.25	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $3,388.44	Professional		$2,187.76	$2,691.53	$3,388.44
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 $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,187.76	Professional		$1,513.56	$1,513.56	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $3,715.35	Facility		$1,479.11	$2,137.96	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,995.26	Professional		$1,000.00	$1,348.96	$1,995.26