Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.00 / $2,539.46 / $3,585.84	Facility		$1,338.00	$2,539.46	$3,585.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.28 / $1,018.19 / $1,174.83	Professional		$858.28	$1,018.19	$1,174.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,527.28 / $1,827.51 / $2,310.50	Facility		$1,527.28	$1,827.51	$2,310.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,656.39 / $3,122.44 / $6,009.89	Facility		$1,656.39	$3,122.44	$6,009.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,443.72 / $1,566.44 / $1,729.74	Professional		$1,443.72	$1,566.44	$1,729.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.83 / $1,762.25 / $2,741.28	Professional		$1,174.83	$1,762.25	$2,741.28
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,918.89	Professional		$30.00	$30.00	$1,918.89
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $783.22 / $1,371.94	Professional		$548.26	$783.22	$1,371.94