Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $3,981.07	Facility		$1,380.38	$2,238.72	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,479.11	Professional		$891.25	$1,096.48	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $2,187.76	Facility		$1,621.81	$1,819.70	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,511.89 / $6,165.95	Facility		$870.96	$2,511.89	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $1,949.84	Professional		$1,548.82	$1,621.81	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,819.70 / $2,454.71	Professional		$346.74	$1,819.70	$2,454.71
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 $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,691.53	Facility		$1,348.96	$1,348.96	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,348.96	Professional		$562.34	$794.33	$1,348.96