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 / $2,344.23	Facility		$1,148.15	$1,148.15	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,995.26	Professional		$831.76	$1,148.15	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,466.84 / $15,848.93	Facility		$2,754.23	$4,466.84	$15,848.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,089.30	Facility		$1,513.56	$1,513.56	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,344.23	Professional		$1,096.48	$1,096.48	$2,344.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $2,691.53	Professional		$1,698.24	$2,041.74	$2,691.53
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 / $1,737.80	Professional		$1,230.27	$1,230.27	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $2,884.03	Facility		$1,174.90	$1,862.09	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,621.81	Professional		$794.33	$1,148.15	$1,621.81