Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,787.55 / $3,392.69 / $4,790.63	Facility		$1,787.55	$3,392.69	$4,790.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,787.55 / $3,575.10 / $3,575.10	Professional		$1,787.55	$3,575.10	$3,575.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,040.42 / $2,441.53 / $3,086.79	Facility		$2,040.42	$2,441.53	$3,086.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,417.05 / $3,253.35 / $8,027.58	Facility		$1,417.05	$3,253.35	$8,027.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,092.73 / $2,124.11 / $2,544.92	Professional		$2,092.73	$2,124.11	$2,544.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,743.95 / $2,441.53 / $3,662.30	Professional		$1,743.95	$2,441.53	$3,662.30
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 / $2,563.61	Professional		$30.00	$30.00	$2,563.61
United Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $670.79 / $1,175.00	Professional		$469.55	$670.79	$1,175.00