Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.83 / $1,146.83 / $1,146.83	Facility		$1,146.83	$1,146.83	$1,146.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.25 / $1,146.83 / $1,791.32	Professional		$833.25	$1,146.83	$1,791.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,768.19 / $4,683.29 / $19,936.75	Facility		$2,768.19	$4,683.29	$19,936.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,760.99 / $1,760.99 / $1,760.99	Professional		$1,760.99	$1,760.99	$1,760.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $2,071.33	Facility		$1,498.90	$1,498.90	$2,071.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,498.90 / $2,686.13	Professional		$1,094.20	$1,498.90	$2,686.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,826.77 / $2,085.38 / $2,664.65	Professional		$1,826.77	$2,085.38	$2,664.65
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 $3,012.22 / $3,012.22 / $3,012.22	Professional		$3,012.22	$3,012.22	$3,012.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,222.49 / $1,746.42 / $1,833.74	Professional		$1,222.49	$1,746.42	$1,833.74
United Facility/Professional Professional Modifier Low / Median / High Price $794.59 / $1,155.97 / $2,046.92	Professional		$794.59	$1,155.97	$2,046.92