Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,398.83	Facility		$1,148.15	$1,148.15	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,238.72	Professional		$870.96	$1,148.15	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,570.88 / $16,218.10	Facility		$2,818.38	$4,570.88	$16,218.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,187.76	Professional		$1,778.28	$1,778.28	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,630.27	Facility		$1,122.02	$1,122.02	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $2,630.27	Professional		$831.76	$831.76	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $3,090.30	Professional		$1,995.26	$2,398.83	$3,090.30
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 $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,778.28	Professional		$1,230.27	$1,230.27	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $2,951.21	Facility		$1,202.26	$1,862.09	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,737.80	Professional		$812.83	$1,174.90	$1,737.80