Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,553.91 / $1,553.91 / $5,081.67	Facility		$1,553.91	$1,553.91	$5,081.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.64 / $1,030.66 / $1,708.50	Professional		$907.64	$1,030.66	$1,708.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,488.35 / $4,209.85 / $17,917.23	Facility		$2,488.35	$4,209.85	$17,917.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,382.83 / $1,582.61 / $1,582.61	Professional		$1,382.83	$1,582.61	$1,582.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $2,279.40	Facility		$1,162.68	$1,162.68	$2,279.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $1,162.68 / $2,414.25	Professional		$988.28	$1,162.68	$2,414.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,874.15 / $3,829.50 / $4,662.00	Professional		$1,874.15	$3,829.50	$4,662.00
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 $2,707.09 / $2,707.09 / $2,707.09	Professional		$2,707.09	$2,707.09	$2,707.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,001.91 / $1,431.30 / $1,502.86	Professional		$1,001.91	$1,431.30	$1,502.86
United Facility/Professional Professional Modifier Low / Median / High Price $726.84 / $1,038.88 / $1,839.57	Professional		$726.84	$1,038.88	$1,839.57