Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,991.79 / $3,780.33 / $5,337.99	Facility		$1,991.79	$3,780.33	$5,337.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,277.66 / $1,515.70 / $1,748.89	Professional		$1,277.66	$1,515.70	$1,748.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,273.55 / $2,720.49 / $3,439.48	Facility		$2,273.55	$2,720.49	$3,439.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,465.67 / $4,648.17 / $8,944.85	Facility		$2,465.67	$4,648.17	$8,944.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,331.85 / $2,366.64 / $2,835.50	Professional		$2,331.85	$2,366.64	$2,835.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,943.21 / $2,720.49 / $4,080.74	Professional		$1,943.21	$2,720.49	$4,080.74
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 / $2,856.52	Professional		$30.00	$30.00	$2,856.52
United Facility/Professional Professional Modifier Low / Median / High Price $816.15 / $1,165.93 / $1,943.21	Professional		$816.15	$1,165.93	$1,943.21