Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,884.03	Facility		$1,412.54	$1,412.54	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,818.38	Professional		$1,230.27	$1,445.44	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,495.41 / $19,498.45	Facility		$3,388.44	$5,495.41	$19,498.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $3,162.28	Facility		$1,584.89	$1,584.89	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $3,090.30	Professional		$1,148.15	$1,148.15	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,467.37 / $4,168.69	Professional		$2,398.83	$3,467.37	$4,168.69
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 $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,137.96	Professional		$1,513.56	$1,513.56	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $4,168.69	Facility		$1,698.24	$2,290.87	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,187.76	Professional		$1,071.52	$1,412.54	$2,187.76