Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.00 / $2,610.73 / $3,585.84	Facility		$1,338.00	$2,610.73	$3,585.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.28 / $858.28 / $1,174.83	Professional		$858.28	$858.28	$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 $1,797.95 / $4,751.93 / $6,009.89	Facility		$1,797.95	$4,751.93	$6,009.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,435.91 / $1,590.88 / $1,988.60	Professional		$1,435.91	$1,590.88	$1,988.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $1,762.25 / $2,336.67	Professional		$345.40	$1,762.25	$2,336.67
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 / $1,631.71	Professional		$30.00	$30.00	$1,631.71
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $783.22 / $1,305.36	Professional		$548.26	$783.22	$1,305.36