Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.99 / $1,028.99 / $1,028.99	Facility		$1,028.99	$1,028.99	$1,028.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.12 / $1,081.57 / $1,727.58	Professional		$913.12	$1,081.57	$1,727.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,347.19 / $5,902.36 / $17,888.12	Facility		$3,347.19	$5,902.36	$17,888.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.58 / $1,580.04 / $1,580.04	Professional		$1,380.58	$1,580.04	$1,580.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $2,275.67	Facility		$1,650.90	$1,650.90	$2,275.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,650.90 / $2,410.13	Professional		$1,403.27	$1,650.90	$2,410.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,975.05 / $6,204.82 / $7,553.70	Professional		$1,975.05	$6,204.82	$7,553.70
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 $2,702.70 / $2,702.70 / $2,702.70	Professional		$2,702.70	$2,702.70	$2,702.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,000.23 / $1,428.91 / $1,500.35	Professional		$1,000.23	$1,428.91	$1,500.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,083.54 / $1,224.69 / $2,162.13	Facility		$1,083.54	$1,224.69	$2,162.13
United Facility/Professional Professional Modifier Low / Median / High Price $884.52 / $1,451.50 / $2,162.13	Professional		$884.52	$1,451.50	$2,162.13