Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.24 / $2,086.32 / $3,403.31	Facility		$1,069.24	$2,086.32	$3,403.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.04 / $1,069.24 / $1,173.56	Professional		$1,004.04	$1,069.24	$1,173.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.62 / $1,825.53 / $2,307.98	Facility		$1,525.62	$1,825.53	$2,307.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,417.05 / $2,732.50 / $6,002.45	Facility		$1,417.05	$2,732.50	$6,002.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,564.74 / $1,588.27 / $1,902.92	Professional		$1,564.74	$1,588.27	$1,902.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,825.53 / $2,738.30	Professional		$1,303.95	$1,825.53	$2,738.30
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 / $1,916.81	Professional		$30.00	$30.00	$1,916.81
United Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $670.79 / $1,175.00	Professional		$469.55	$670.79	$1,175.00